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Lee E Weiss - One of the best experts on this subject based on the ideXlab platform.
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head rotation during internal jugular vein cannulation and the risk of carotid Artery Puncture
Anesthesia & Analgesia, 1996Co-Authors: Cheri A Sulek, Nikolaus Gravenstein, Robert H Blackshear, Lee E WeissAbstract:We undertook a prospective laboratory study to examine the effect of head position on the relative positions of the carotid Artery and the internal jugular vein (IJV). Volunteers (n = 12) from departmental staff, 18-60 yr of age, who had never undergone cannulation of the IJV underwent imaging of their IJV and carotid Artery. With the subject in a 15 degrees Trendelenburg position, two-dimensional ultrasound images of the IJV and the carotid Artery were obtained on the left and right sides of the neck at 2 and 4 cm from the clavicle along the lateral border of the sternal head of the sternocleidomastoid muscle at 0 degrees, 40 degrees, and 80 degrees of head rotation from the midline. The percent overlap of the carotid Artery and IJV increased significantly at 40 degrees and 80 degrees head rotation to both the right and left (P 40 degrees increases the risk of inadvertent Puncture of the carotid Artery associated with the common occurrence of transfixion of the IJV before it is identified during needle withdrawal. The IJV frequently collapses with needle insertion. This may result in Puncture of the posterior wall of the vessel, and thus of the carotid Artery when the two vessels overlap. To decrease this risk, the head should be kept in as neutral a position as possible, that is < 40 degrees rotation, during IJV cannulation.
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head rotation during internal jugular vein cannulation and the risk of carotid Artery Puncture
Anesthesia & Analgesia, 1996Co-Authors: Cheri A Sulek, Nikolaus Gravenstein, Robert H Blackshear, Lee E WeissAbstract:We undertook a prospective laboratory study to examine the effect of head position on the relative positions of the carotid Artery and the internal jugular vein (IJV).Volunteers (n = 12) from departmental staff, 18-60 yr of age, who had never undergone cannulation of the IJV underwent imaging of the
Sun Chong Kim - One of the best experts on this subject based on the ideXlab platform.
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thrombotic obstruction of the subclavian Artery associated with inadvertent arterial Puncture on attempted right internal jugular vein cannulation a case report
Korean Journal of Anesthesiology, 2008Co-Authors: Min Gue Jung, Soon Im Kim, Sangwon Seo, Sun Chong KimAbstract:Internal jugular vein cannulation is commonly used for the anesthetic management of patients undergoing a major operation. Complications associated with internal jugular vein cannulation such as a carotid Artery Puncture, pneumothorax and hemothorax, have been reported; however, thrombotic complications of arteries due to accidental arterial Punctures are rare. We report a case of thrombotic obstruction of the subclavian Artery associated with inadvertent arterial Puncture following an attempted internal jugular vein cannulation. (Korean J Anesthesiol 2008; 55: 95~8)
Dierk Vorwerk - One of the best experts on this subject based on the ideXlab platform.
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suitability of exoseal vascular closure device for antegrade femoral Artery Puncture site closure
CardioVascular and Interventional Radiology, 2013Co-Authors: Christopher Schmelter, Andrea Liebl, Nektarios Poullos, Volker Ruppert, Dierk VorwerkAbstract:Purpose To assess the efficacy and safety of the Exoseal vascular closure device for antegrade Puncture of the femoral Artery.
Urs E Ruttimann - One of the best experts on this subject based on the ideXlab platform.
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comparison of three techniques for internal jugular vein cannulation in infants
Pediatric Anesthesia, 2000Co-Authors: Susan T Verghese, Willis A Mcgill, Ramesh I Patel, Jeffrey E Sell, Frank M Midgley, Urs E RuttimannAbstract:Central venous cannulation allows accurate monitoring of right atrial pressure and infusion of drugs during the anaesthetic management of infants undergoing cardiopulmonary bypass. In this prospective, randomized study, we compared the success and speed of cannulation of the internal jugular vein in 45 infants weighing less than 10 kg using three modes of identification: auditory signals from internal ultrasound (SmartNeedle, SM), external ultrasound imaging (Imaging Method, IM) and the traditional palpation of the carotid pulsation and other landmarks (Landmarks Method, LM). The cannulation time, number of attempts with LM and SM techniques were greater than those with IM technique. The incidence of carotid Artery Puncture and the success rate were not significantly different among the three groups. In infants, a method based on visual ultrasound identification (IM) of the internal jugular vein is more precise and efficient than methods based on auditory (SM) and tactile perception (LM).
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ultrasound guided internal jugular venous cannulation in infants a prospective comparison with the traditional palpation method
Anesthesiology, 1999Co-Authors: Susan T Verghese, Willis A Mcgill, Ramesh I Patel, Jeffrey E Sell, Frank M Midgley, Urs E RuttimannAbstract:BackgroundPercutaneous cannulation of the internal jugular vein in infants is technically more difficult and carries a higher risk of carotid Artery Puncture than in older children and adults. In this prospective study, the authors tested their hypothesis that using an ultrasound scanner would incre
Cheri A Sulek - One of the best experts on this subject based on the ideXlab platform.
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head rotation during internal jugular vein cannulation and the risk of carotid Artery Puncture
Anesthesia & Analgesia, 1996Co-Authors: Cheri A Sulek, Nikolaus Gravenstein, Robert H Blackshear, Lee E WeissAbstract:We undertook a prospective laboratory study to examine the effect of head position on the relative positions of the carotid Artery and the internal jugular vein (IJV). Volunteers (n = 12) from departmental staff, 18-60 yr of age, who had never undergone cannulation of the IJV underwent imaging of their IJV and carotid Artery. With the subject in a 15 degrees Trendelenburg position, two-dimensional ultrasound images of the IJV and the carotid Artery were obtained on the left and right sides of the neck at 2 and 4 cm from the clavicle along the lateral border of the sternal head of the sternocleidomastoid muscle at 0 degrees, 40 degrees, and 80 degrees of head rotation from the midline. The percent overlap of the carotid Artery and IJV increased significantly at 40 degrees and 80 degrees head rotation to both the right and left (P 40 degrees increases the risk of inadvertent Puncture of the carotid Artery associated with the common occurrence of transfixion of the IJV before it is identified during needle withdrawal. The IJV frequently collapses with needle insertion. This may result in Puncture of the posterior wall of the vessel, and thus of the carotid Artery when the two vessels overlap. To decrease this risk, the head should be kept in as neutral a position as possible, that is < 40 degrees rotation, during IJV cannulation.
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head rotation during internal jugular vein cannulation and the risk of carotid Artery Puncture
Anesthesia & Analgesia, 1996Co-Authors: Cheri A Sulek, Nikolaus Gravenstein, Robert H Blackshear, Lee E WeissAbstract:We undertook a prospective laboratory study to examine the effect of head position on the relative positions of the carotid Artery and the internal jugular vein (IJV).Volunteers (n = 12) from departmental staff, 18-60 yr of age, who had never undergone cannulation of the IJV underwent imaging of the