Abstract
Background
Real-time ultrasound (US)-guided venipuncture has become the standard of care due
to its reduced complications and higher success rate. There are various techniques
for US-guided cannulation of the internal jugular vein (IJV); the transversal and
longitudinal views are the most widely used. There is a less commonly used technique
that combines the benefits of both methods.
Discussion
Two main techniques for central line US-guided cannulation of the IJV are based on
the location of the probe relative to the vessel and are known as the transversal
view and the longitudinal view. The transversal view may make it difficult to identify
the tip of the needle as it enters the vein, and the longitudinal view may not allow
for visualization of surrounding structures. A third and less commonly used technique,
the short axis in-plan view, aims to combine the benefits of both previous methods.
In this technique, the entire needle can be tracked in real time as it enters the
IJV, while also providing visualization of surrounding structures.
Conclusions
The short axis in-plane view technique for central venous line placements allows for
real-time US-guided needle venipuncture with simultaneous visualization of surrounding
structures.
Keywords
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References
- Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice.Crit Care. 2017; 21 (Accessed March 24th, 2022): 225
- Practice Guidelines for Central Venous Access 2020.Anesthesiology. 2020; 132 (Accessed March 24th, 2022): 8-43
- Safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture: a meta-analysis.J Int Med Res. 2018; 46 (Accessed March 24th, 2022): 2587-2594
- Posterior triangle approach for lateral in-plane technique during hemodialysis catheter insertion via the internal jugular vein.Ann Surg Treat Res. 2015; 88 (Accessed March 24th, 2022): 114
- An Alternate in-plane technique of ultrasound-guided internal jugular vein cannulation.J Emerg Med. 2019; 57 (Accessed March 24th, 2022): 852-858
Article info
Publication history
Published online: March 01, 2023
Accepted:
February 17,
2023
Received in revised form:
February 5,
2023
Received:
October 15,
2022
Publication stage
In Press Corrected ProofFootnotes
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Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
