Central venous catheterization: a randomized comparison between external and internal jugular access

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Dilemma during ultrasound‐guided internal jugular venous catheterization

The presence of Internal Jugular Valves can pose a diagnostic and procedural challenge during ultrasound-guided cannulation. After ruling out dissection, thrombus, or ultrasound artifacts, it can still be accessed and successfully cannulated with appropriate precautions including use of Live ultrasound, positioning, use of soft-tipped catheters, and minimizing duration of catheter placement.

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Complications arising from internal jugular venous catheterization are uncommon. Injury to the carotid artery is reported as one of the more common injuries. Vertebral artery injuries are rare and include pseudoaneurysm formation, arteriovenous fistulas, lacerations, and dissection with thrombus formation. Occasionally, such injuries initially go unnoticed and have the potential to cause catast...

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Ultrasound-guided internal jugular vein catheterization: a randomized controlled trial

INTRODUCTION Even though advantages of ultrasound line placement seem obvious, many countries do not have easy access to such technology. This study aims to compare the degree of difficulty in central venous line placement with or without ultrasound and the incidence of complications, and to establish the effect of the operator's degree of training. METHODS The study included 257 patients tha...

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External Jugular Venous Route for Central Venous Access: Our Experience in 563 Surgical Patients

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ژورنال

عنوان ژورنال: Critical Care

سال: 2009

ISSN: 1364-8535

DOI: 10.1186/cc7864