Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound
The primary goal of this study was to compare the size and depth of the internal jugular vein (IJV) and the subclavian vein (SCV) in infants under general anaesthesia. A secondary goal was to determine the correlation of weight, height, head circumference, and age to the size and depth of these vein...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2010-08, Vol.105 (2), p.179-184 |
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| creator | Breschan, C Platzer, M Jost, R Stettner, H Likar, R |
| description | The primary goal of this study was to compare the size and depth of the internal jugular vein (IJV) and the subclavian vein (SCV) in infants under general anaesthesia. A secondary goal was to determine the correlation of weight, height, head circumference, and age to the size and depth of these veins.
Sixty small infants weighing from 1.4 to 4.5 kg were included. Using ultrasound, the diameters via short-axis (SAX) and long-axis (LAX) views, cross-sectional area (CSA), and depth of the left and right IJV and SCV were measured.
The diameter of the IJV was 7.9% larger on average than that of the SCV as measured via the SAX and LAX views (mean: 3.1 vs 2.9 mm; Wilcoxon’s signed-rank test: P |
| doi_str_mv | 10.1093/bja/aeq123 |
| format | Article |
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Sixty small infants weighing from 1.4 to 4.5 kg were included. Using ultrasound, the diameters via short-axis (SAX) and long-axis (LAX) views, cross-sectional area (CSA), and depth of the left and right IJV and SCV were measured.
The diameter of the IJV was 7.9% larger on average than that of the SCV as measured via the SAX and LAX views (mean: 3.1 vs 2.9 mm; Wilcoxon’s signed-rank test: P<0.01). The CSA of the IJV was 27% larger on average than that of the SCV (mean: 10.2 vs 8.0 mm2; Wilcoxon’s signed-rank test: P<0.01). Seventy-five per cent of the neonates showed a larger CSA of the IJV. The SCV was 8.4% deeper on average from the skin surface than the IJV (mean: 6.4 vs 5.9 mm; Wilcoxon’s signed-rank test: P<0.01). There was a significant positive correlation between weight, height, head circumference, and age to the size and depth of the veins (Spearman’s rank correlation: P<0.01).
Because of its most likely larger size, the IJV can be recommended as the better choice for cannulation in comparison with the SCV. However, other factors should also be considered.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/aeq123</identifier><identifier>PMID: 20542889</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Aging - pathology ; Anesthesia ; Anesthesia, General ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Body Height - physiology ; Body Weight - physiology ; Catheterization, Central Venous - methods ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; internal jugular vein ; Jugular Veins - anatomy & histology ; Jugular Veins - diagnostic imaging ; Medical sciences ; Reference Values ; subclavian vein ; Subclavian Vein - anatomy & histology ; Subclavian Vein - diagnostic imaging ; Ultrasonography ; ultrasound</subject><ispartof>British journal of anaesthesia : BJA, 2010-08, Vol.105 (2), p.179-184</ispartof><rights>2010 The Author(s)</rights><rights>The Author [2010]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-366d5521c5127e2912a08285ee0d6b2e0c39f588509cbfcc1cfe04c188dc5fa83</citedby><cites>FETCH-LOGICAL-c465t-366d5521c5127e2912a08285ee0d6b2e0c39f588509cbfcc1cfe04c188dc5fa83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1586,27933,27934</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23041911$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20542889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Breschan, C</creatorcontrib><creatorcontrib>Platzer, M</creatorcontrib><creatorcontrib>Jost, R</creatorcontrib><creatorcontrib>Stettner, H</creatorcontrib><creatorcontrib>Likar, R</creatorcontrib><title>Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>The primary goal of this study was to compare the size and depth of the internal jugular vein (IJV) and the subclavian vein (SCV) in infants under general anaesthesia. A secondary goal was to determine the correlation of weight, height, head circumference, and age to the size and depth of these veins.
Sixty small infants weighing from 1.4 to 4.5 kg were included. Using ultrasound, the diameters via short-axis (SAX) and long-axis (LAX) views, cross-sectional area (CSA), and depth of the left and right IJV and SCV were measured.
The diameter of the IJV was 7.9% larger on average than that of the SCV as measured via the SAX and LAX views (mean: 3.1 vs 2.9 mm; Wilcoxon’s signed-rank test: P<0.01). The CSA of the IJV was 27% larger on average than that of the SCV (mean: 10.2 vs 8.0 mm2; Wilcoxon’s signed-rank test: P<0.01). Seventy-five per cent of the neonates showed a larger CSA of the IJV. The SCV was 8.4% deeper on average from the skin surface than the IJV (mean: 6.4 vs 5.9 mm; Wilcoxon’s signed-rank test: P<0.01). There was a significant positive correlation between weight, height, head circumference, and age to the size and depth of the veins (Spearman’s rank correlation: P<0.01).
Because of its most likely larger size, the IJV can be recommended as the better choice for cannulation in comparison with the SCV. However, other factors should also be considered.</description><subject>Aging - pathology</subject><subject>Anesthesia</subject><subject>Anesthesia, General</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Body Height - physiology</subject><subject>Body Weight - physiology</subject><subject>Catheterization, Central Venous - methods</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>internal jugular vein</subject><subject>Jugular Veins - anatomy & histology</subject><subject>Jugular Veins - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Reference Values</subject><subject>subclavian vein</subject><subject>Subclavian Vein - anatomy & histology</subject><subject>Subclavian Vein - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>ultrasound</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90FtrFDEYBuAgit2u3vgDJDciiGNzmEwyvZNirbggeIDiTchkvtGss5NtDlP11xudtb0RrxKSJ-9HXoQeUfKCkpafdFtzYuCKMn4HrWgtadVISe-iFSFEVqSl7Agdx7glhErWivvoiBFRM6XaFcof3E_AfsBuShAmM-Jt_pJHE_AcccydHc3szIRncFMxOO7MOJbNYKYUT3G58V2EMJvkfHn9vJyY5HfOliSYzZj_XOBrl77iPKZgos9T_wDdG8wY4eFhXaNP568-nl1Um3ev35y93FS2bkSqeNP0QjBqBWUSWPmIIYopAUD6pmNALG8HoZQgre0Ga6kdgNSWKtVbMRjF1-jpkrsP_ipDTHrnooVxNBP4HLXkXLRSMl7ks0Xa4GMMMOh9cDsTfmhK9O-WdWlZLy0X_PgQm7sd9Df0b60FPDkAE0sTQzCTdfHWcVLTltJb5_P-_wOrxbmY4PuNNOGbbiSXQl9cftb0_Tm5fLtRJX6N6sVDKXd2EHS0DiYLvQtgk-69-9eYXwrntak</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Breschan, C</creator><creator>Platzer, M</creator><creator>Jost, R</creator><creator>Stettner, H</creator><creator>Likar, R</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound</title><author>Breschan, C ; Platzer, M ; Jost, R ; Stettner, H ; Likar, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-366d5521c5127e2912a08285ee0d6b2e0c39f588509cbfcc1cfe04c188dc5fa83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aging - pathology</topic><topic>Anesthesia</topic><topic>Anesthesia, General</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Body Height - physiology</topic><topic>Body Weight - physiology</topic><topic>Catheterization, Central Venous - methods</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>internal jugular vein</topic><topic>Jugular Veins - anatomy & histology</topic><topic>Jugular Veins - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Reference Values</topic><topic>subclavian vein</topic><topic>Subclavian Vein - anatomy & histology</topic><topic>Subclavian Vein - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Breschan, C</creatorcontrib><creatorcontrib>Platzer, M</creatorcontrib><creatorcontrib>Jost, R</creatorcontrib><creatorcontrib>Stettner, H</creatorcontrib><creatorcontrib>Likar, R</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Breschan, C</au><au>Platzer, M</au><au>Jost, R</au><au>Stettner, H</au><au>Likar, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br J Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>105</volume><issue>2</issue><spage>179</spage><epage>184</epage><pages>179-184</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>The primary goal of this study was to compare the size and depth of the internal jugular vein (IJV) and the subclavian vein (SCV) in infants under general anaesthesia. A secondary goal was to determine the correlation of weight, height, head circumference, and age to the size and depth of these veins.
Sixty small infants weighing from 1.4 to 4.5 kg were included. Using ultrasound, the diameters via short-axis (SAX) and long-axis (LAX) views, cross-sectional area (CSA), and depth of the left and right IJV and SCV were measured.
The diameter of the IJV was 7.9% larger on average than that of the SCV as measured via the SAX and LAX views (mean: 3.1 vs 2.9 mm; Wilcoxon’s signed-rank test: P<0.01). The CSA of the IJV was 27% larger on average than that of the SCV (mean: 10.2 vs 8.0 mm2; Wilcoxon’s signed-rank test: P<0.01). Seventy-five per cent of the neonates showed a larger CSA of the IJV. The SCV was 8.4% deeper on average from the skin surface than the IJV (mean: 6.4 vs 5.9 mm; Wilcoxon’s signed-rank test: P<0.01). There was a significant positive correlation between weight, height, head circumference, and age to the size and depth of the veins (Spearman’s rank correlation: P<0.01).
Because of its most likely larger size, the IJV can be recommended as the better choice for cannulation in comparison with the SCV. However, other factors should also be considered.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>20542889</pmid><doi>10.1093/bja/aeq123</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aging - pathology Anesthesia Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Body Height - physiology Body Weight - physiology Catheterization, Central Venous - methods Humans Infant Infant, Newborn Infant, Premature internal jugular vein Jugular Veins - anatomy & histology Jugular Veins - diagnostic imaging Medical sciences Reference Values subclavian vein Subclavian Vein - anatomy & histology Subclavian Vein - diagnostic imaging Ultrasonography ultrasound |
| title | Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound |
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