Effects of Clinical Maneuvers on Sonographically Determined Internal Jugular Vein Size During Venous Cannulation

Douglas L. Mallory, Thomas Shawker, Gregory Evans, William T. McGee, Matthew Brenner, Margaret Parker, Gary E. Morrison, Pamela Mohler, Christopher Veremakis, Joseph E. Parrillo

Research output: Contribution to journalArticlepeer-review

60 Scopus citations

Abstract

We sought to define variations in internal jugular vein (IJV) anatomy and the effect of recommended cannulation maneuvers on a population of ICU patients. Maneuvers that decreased IJV lumen cross-sectional area were carotid artery palpation (1.48 to 0.82 cm2, p less than .05) and advancement of the needle (1.57 to 0.75 cm2, p less than .001). The head-down (modified Trendelenburg) position increased IJV lumen cross-sectional area (1.18 to 1.62 cm2, p less than .05). There was wide variability in IJV anatomic features, although most patients had patent veins.
Original languageAmerican English
JournalCritical Care Medicine
Volume18
DOIs
StatePublished - Nov 1 1990

Keywords

  • Clinical maneuvers
  • Effects
  • Internal Jugular Vein Size
  • Sonographically determined
  • Venous Cannulation

DC Disciplines

  • Public Health

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