Absence of the Right Internal Jugular Vein During Ultrasound-Guided Cannulation

Absence of the Right Internal Jugular Vein During Ultrasound-Guided Cannulation

Cannulation of the internal jugular vein (IJV) may be diffucult because of anatomical variations. A 66-year-old female patient, who was in the intensive care unit, underwent ultrasound-guided cannulation of the right IJV. The right IJV could not be visualized by ultrasonography despite positional ch...

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Veröffentlicht in:Turkish Journal of Anaesthesiology and Reanimation 2015-06, Vol.43 (3), p.212-214
Hauptverfasser: Alagöz, Ali, Tunç, Mehtap, Sazak, Hilal, Pehlivanoğlu, Polat, Gökçek, Atila, Ulus, Fatma
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container_end_page 214
container_issue 3
container_start_page 212
container_title Turkish Journal of Anaesthesiology and Reanimation
container_volume 43
creator Alagöz, Ali
Tunç, Mehtap
Sazak, Hilal
Pehlivanoğlu, Polat
Gökçek, Atila
Ulus, Fatma
description Cannulation of the internal jugular vein (IJV) may be diffucult because of anatomical variations. A 66-year-old female patient, who was in the intensive care unit, underwent ultrasound-guided cannulation of the right IJV. The right IJV could not be visualized by ultrasonography despite positional changes of the patient and Valsalva maneuvre. The left IJV was easily determined by ultrasonography and cannulated. Although the landmark technique may be sufficient for most of the central vein cannulations, the rate of anatomical variations and related complications is quite high. We point out that even if ultrasound cannot be used in real-time, the ultrasonographic confirmation during the pre-insertion period may be crucial for successful central vein cannulation.
doi_str_mv 10.5152/TJAR.2015.82713
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ispartof Turkish Journal of Anaesthesiology and Reanimation, 2015-06, Vol.43 (3), p.212-214
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source PubMed Central; Alma/SFX Local Collection
subjects Case Report
title Absence of the Right Internal Jugular Vein During Ultrasound-Guided Cannulation
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