External jugular vein as central venous access in intensive care patients
ABSTRACT The authors studied 98 patients in need of a central venous line route, joined into two different groups: Group 1 - 62 (63.3%) patients, and Group 2 - 36 (36.7%). All the patients had a visible external jugular vein while on Trendelenburg position. According to the Seldinger technique using a J-wire guided catheter the authors describe a maneuver to make it easy to advance the catheter. Patients from Group 1 had the technique applied by operators with previous experience, and patients from Group 2 by operators with no previous experience, but under supervision. There was no significant difference in the success rate between these two groups: 96.8% in Group 1 and 94.4% in Group 2 (p > 0.5). There was only one case of local bleeding, managed by local compression.
- SourceAvailable from: Nikolaus Alexander Haas
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- "Use of the external jugular vein (EJV) for central venous access with a guide-wire technique is associated with a 75–100% success rate in adult patients and a very low complication rate . "
ABSTRACT: The current literature on venous access in infants and children for acute intravascular access in the routine situation and in emergency or intensive care settings is reviewed. The various techniques for facilitating venous cannulation, such as application of local warmth, transillumination techniques and epidermal nitroglycerine, are described. Preferred sites for central venous access in infants and children are the external and internal jugular veins, the subclavian and axillary veins, and the femoral vein. The femoral venous cannulation appears to be the most safe and reliable technique in children of all ages, with a high success and low complication rates. Evidence from the reviewed literature strongly supports the use of real-time ultrasound techniques for venous cannulation in infants and children. Additionally, in emergency situations the intraosseous access has almost completely replaced saphenous cutdown procedures in children and has decreased the need for immediate central venous access.Critical care (London, England) 01/2005; 8(6):478-84. DOI:10.1186/cc2880 · 4.48 Impact Factor
- Critical Care 03/2004; 8:1-1. DOI:10.1186/cc2802 · 4.48 Impact Factor
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ABSTRACT: Venepuncture and venous cannulation are the most commonly performed invasive medical procedures in hospitalized patients. Venodilatation can facilitate these procedures and minimize discomfort for patient and practitioner alike. This article describes useful venodilatation techniques that can be employed by medical personnel.Journal of Emergency Medicine 08/2004; 27(1):69-73. DOI:10.1016/j.jemermed.2004.02.011 · 0.97 Impact Factor