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January 25, 2005Civil War Book Review

Circumferential Adjustment of Ultrasound Probe Position to Determine the Optimal Approach to the Internal Jugular Vein: A Noninvasive Geometric Study in Adults

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Key result

Circumferential adjustment of an ultrasound probe position consistently identified an approach to the internal jugular vein superior to four surface anatomy-based approaches.

Why the study?

Does circumferential adjustment of a 2D ultrasound probe position improve the identification of an optimal approach to the internal jugular vein compared to surface anatomy-based approaches in adults?

Population

107 adult subjects

Comparison

Circumferential adjustment of the position of a… vs Four popular surface anatomy-based approaches

Design

Cross-sectional

Authors

JRJames M. RiopelleLouisiana State University Health Sciences Center New OrleansDRDarren P. RuizMeharry Medical CollegeJHJohn P. HuntUniversity Medical Center New Orleans

Discussion

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Implication

May support optimized ultrasound probe positioning for internal jugular access; leaves open effects on cannulation success and safety.

Study Design

Type

Cross-Sectional (n=107)

Structured PICO

Does circumferential adjustment of a 2D ultrasound probe position improve the identification of an optimal approach to the internal jugular vein compared to surface anatomy-based approaches in adults?

P
Population
107 adult subjects undergoing bilateral high-resolution ultrasound imaging of the neck to evaluate approaches for internal jugular venous cannulation.
E
Exposure
Circumferential adjustment of the position of a two-dimensional ultrasound (US) probe around the neck
C
Comparator
Four popular surface anatomy-based ("blind") approaches
O
Outcome
Identification of a pathway from the skin to the internal jugular vein (IJV) that minimizes venoarterial overlap while maximizing venous target (angular) widthsurrogate

Circumferential adjustment of a 2D ultrasound probe around the neck allows for a superior approach to internal jugular vein cannulation by minimizing venoarterial overlap and maximizing venous target width.

Cite This Study

Riopelle et al. (2005) conducted a cross-sectional in Internal jugular venous cannulation (n=107). Circumferential adjustment of ultrasound probe position vs. Four popular surface anatomy-based approaches was evaluated on Identification of a pathway from the skin to the IJV that minimizes venoarterial overlap while maximizing venous target width. Circumferential adjustment of an ultrasound probe position consistently identified an approach to the internal jugular vein superior to four surface anatomy-based approaches.

synapsesocial.com/papers/6a9fa45ffe80d3ecfb7c62e4https://doi.org/10.1213/01.ane.0000142115.94440.6c
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Position of the internal jugular vein in children. A study of the anatomy using ultrasonography1999 · 66 citations
  2. 2Use of Ultrasound to Evaluate Internal Jugular Vein Anatomy and to Facilitate Central Venous Cannulation in Paediatric Patients1994 · 33 citations
  3. 3Ultrasound-facilitated central venous cannulation1992 · 64 citations
  4. 4The Groshong catheter: initial experience and early results of imaging-guided placement.1992 · 46 citations
  5. 5Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique.1993 · 552 citations