The accuracy of the new landmark using respiratory jugular venodilation and direct palpation in right internal jugular vein access.

ABSTRACT:

Background

Although ultrasonography is recommended in internal jugular vein (IJV) catheterization, the landmark-guided technique should still be considered. The central landmark using the two heads of the sternocleidomastoid muscle is widely used, but it is inaccurate for IJV access. As an alternative landmark, we investigated the accuracy of the new landmark determined by inspection of the respiratory jugular venodilation and direct IJV palpation in right IJV access by ultrasonography.

Methods and findings

Thirty patients were enrolled. After induction of anesthesia, the central landmark was marked at the cricoid cartilage level (M1) and the alternative landmark determined by inspection of the respiratory jugular venodilation and direct palpation of IJV was also marked at t

SUBMITTER: Seo H 

PROVIDER: S-EPMC4106888 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature