Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation
We sought to define variations in internal jugular vein (IJV) anatomy and the effect of recommended cannulation maneuvers on a population of ICU patients. Maneuvers that decreased IJV lumen cross-sectional area were carotid artery palpation (1.48 to 0.82 cm, p < .05) and advancement of the needle...
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| Veröffentlicht in: | Critical care medicine 1990-11, Vol.18 (11), p.1269-1273 |
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| creator | MALLORY, DOUGLAS L SHAWKER, THOMAS EVANS, R GREGORY McGEE, WILLIAM T BRENNER, MATTHEW PARKER, MARGARET MORRISON, GARY MOHLER, PAMELA VEREMAKIS, CHRISTOPHER PARRILLO, JOSEPH E |
| description | We sought to define variations in internal jugular vein (IJV) anatomy and the effect of recommended cannulation maneuvers on a population of ICU patients. Maneuvers that decreased IJV lumen cross-sectional area were carotid artery palpation (1.48 to 0.82 cm, p < .05) and advancement of the needle (1.57 to 0.75 cm, p < .001). The head-down (modified Trendelenburg) position increased IJV lumen cross-sectional area (1.18 to 1.62 cm, p < .05). There was wide variability in IJV anatomic features, although most patients had patent veins. |
| doi_str_mv | 10.1097/00003246-199011000-00017 |
| format | Article |
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Maneuvers that decreased IJV lumen cross-sectional area were carotid artery palpation (1.48 to 0.82 cm, p < .05) and advancement of the needle (1.57 to 0.75 cm, p < .001). The head-down (modified Trendelenburg) position increased IJV lumen cross-sectional area (1.18 to 1.62 cm, p < .05). There was wide variability in IJV anatomic features, although most patients had patent veins.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Carotid Arteries</subject><subject>Catheterization, Peripheral</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Intensive care medicine</subject><subject>Jugular Veins - anatomy & histology</subject><subject>Jugular Veins - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Palpation</subject><subject>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</subject><subject>Ultrasonography</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1vFCEUhomxqWvrTzDhRu9G-Rzg0jT1I2nijb0mDDC7VIZZYaZN_fWe7a71ShICh_O-h8MDQpiSD5QY9ZHA4Ez0HTWGUApRB5OqF2hDJYeAGf4SbQgxpOPC8FfodWt3oBBS8XN0zhiT2qgN2l-PY_RLw_OIfU4leZfx5Epc72OF04LbXOZtdfvdIZUfcYhLrFMqMeBUYFvAcLdu1-wqvo8JDOl3xGGtqWzhoMxrw96VAoIlzeUSnY0ut_jmtF6g28_XP66-djffv3y7-nTTea6l6kTUWinSG688jdKxQLinnvuhZ9QPIyNC9Uqoodda-kB5cEEY7UMQWvuB8Qv0_lh3X-dfa2yLnVLzMWd4G7RkNSFKSiFAqI9CX-fWahztvqbJ1UdLiT3Atn9h22fY9gk2WN-e7liHKYZn44ku5N-d8q4BvLG64lP7V99IxZQ59CqOuoc5A9H2M68PsdpddHnZ2f_9Nf8DodyYyw</recordid><startdate>199011</startdate><enddate>199011</enddate><creator>MALLORY, DOUGLAS L</creator><creator>SHAWKER, THOMAS</creator><creator>EVANS, R GREGORY</creator><creator>McGEE, WILLIAM T</creator><creator>BRENNER, MATTHEW</creator><creator>PARKER, MARGARET</creator><creator>MORRISON, GARY</creator><creator>MOHLER, PAMELA</creator><creator>VEREMAKIS, CHRISTOPHER</creator><creator>PARRILLO, JOSEPH E</creator><general>Williams & Wilkins</general><general>Lippincott</general><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>199011</creationdate><title>Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation</title><author>MALLORY, DOUGLAS L ; SHAWKER, THOMAS ; EVANS, R GREGORY ; McGEE, WILLIAM T ; BRENNER, MATTHEW ; PARKER, MARGARET ; MORRISON, GARY ; MOHLER, PAMELA ; VEREMAKIS, CHRISTOPHER ; PARRILLO, JOSEPH E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3857-4e8877069c7c1e5a2d03c1c3cb621cbf20476747b6885cd13dad498cdd488cb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Carotid Arteries</topic><topic>Catheterization, Peripheral</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Intensive care medicine</topic><topic>Jugular Veins - anatomy & histology</topic><topic>Jugular Veins - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Palpation</topic><topic>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MALLORY, DOUGLAS L</creatorcontrib><creatorcontrib>SHAWKER, THOMAS</creatorcontrib><creatorcontrib>EVANS, R GREGORY</creatorcontrib><creatorcontrib>McGEE, WILLIAM T</creatorcontrib><creatorcontrib>BRENNER, MATTHEW</creatorcontrib><creatorcontrib>PARKER, MARGARET</creatorcontrib><creatorcontrib>MORRISON, GARY</creatorcontrib><creatorcontrib>MOHLER, PAMELA</creatorcontrib><creatorcontrib>VEREMAKIS, CHRISTOPHER</creatorcontrib><creatorcontrib>PARRILLO, JOSEPH E</creatorcontrib><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>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MALLORY, DOUGLAS L</au><au>SHAWKER, THOMAS</au><au>EVANS, R GREGORY</au><au>McGEE, WILLIAM T</au><au>BRENNER, MATTHEW</au><au>PARKER, MARGARET</au><au>MORRISON, GARY</au><au>MOHLER, PAMELA</au><au>VEREMAKIS, CHRISTOPHER</au><au>PARRILLO, JOSEPH E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1990-11</date><risdate>1990</risdate><volume>18</volume><issue>11</issue><spage>1269</spage><epage>1273</epage><pages>1269-1273</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>We sought to define variations in internal jugular vein (IJV) anatomy and the effect of recommended cannulation maneuvers on a population of ICU patients. Maneuvers that decreased IJV lumen cross-sectional area were carotid artery palpation (1.48 to 0.82 cm, p < .05) and advancement of the needle (1.57 to 0.75 cm, p < .001). The head-down (modified Trendelenburg) position increased IJV lumen cross-sectional area (1.18 to 1.62 cm, p < .05). There was wide variability in IJV anatomic features, although most patients had patent veins.</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>2225897</pmid><doi>10.1097/00003246-199011000-00017</doi><tpages>5</tpages></addata></record> |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carotid Arteries Catheterization, Peripheral Emergency and intensive care: techniques, logistics Humans Image Processing, Computer-Assisted Intensive care medicine Jugular Veins - anatomy & histology Jugular Veins - diagnostic imaging Medical sciences Palpation Perfusions. Catheterizations. Hyperbaric oxygenotherapy Ultrasonography |
| title | Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation |
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