Ultrasonographic anatomy of the internal jugular vein relevant to percutaneous cannulation
作者:
MICHAEL BAZARAL,
STEVEN HARLAN,
期刊:
Critical Care Medicine
(OVID Available online 1981)
卷期:
Volume 9,
issue 4
页码: 307-310
ISSN:0090-3493
年代: 1981
出版商: OVID
数据来源: OVID
摘要:
Ultrasonographic scans of the right side of the neck of 16 subjects were done in order to determine the anatomical features relevant to efficient cannulation of the internal jugular vein. The cross sectional area of the jugular vein was estimated from scans at the level of the cricoid as well as 1.5 cm cephalad and caudad to the cricoid; the jugular was significantly larger caudad to the cricoid. A head-down tilt of 14° provided significant distension of the jugular, similar to that produced by a Valsalva maneuver. Both palpation of the carotid and extreme rotation of the head produce anatomical changes that seem to make cannulation of the jugular difficult.
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