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

doi:10.1097/00003246-199011000-00017

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

Health Policy & Community Health

Research output: Contribution to journal › Article › peer-review

62 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 language	English
Pages (from-to)	1269-1273
Number of pages	5
Journal	Critical Care Medicine
Volume	18
Issue number	11
DOIs	https://doi.org/10.1097/00003246-199011000-00017
State	Published - 1990

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Scopus Subject Areas

Critical Care and Intensive Care Medicine

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10.1097/00003246-199011000-00017License: Unspecified

Cite this

@article{c9f9455fb2654c6b913d9d071a8a4288,

title = "Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation",

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.",

author = "Mallory, \{Douglas L.\} and Thomas Shawker and Gregory Evans and McGee, \{William T.\} and Matthew Brenner and Margaret Parker and Morrison, \{Gary E.\} and Pamela Mohler and Christopher Veremakis and Parrillo, \{Joseph E.\}",

note = "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 < .05) and advancement of the needle (1.57 to 0.75 cm2, p < .001).",

year = "1990",

doi = "10.1097/00003246-199011000-00017",

language = "English",

volume = "18",

pages = "1269--1273",

journal = "Critical Care Medicine",

issn = "0090-3493",

publisher = "Lippincott Williams and Wilkins",

number = "11",

}

TY - JOUR

T1 - Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation

AU - Mallory, Douglas L.

AU - Shawker, Thomas

AU - Evans, Gregory

AU - McGee, William T.

AU - Brenner, Matthew

AU - Parker, Margaret

AU - Morrison, Gary E.

AU - Mohler, Pamela

AU - Veremakis, Christopher

AU - Parrillo, Joseph E.

N1 - 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 < .05) and advancement of the needle (1.57 to 0.75 cm2, p < .001).

PY - 1990

Y1 - 1990

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/0025010704

U2 - 10.1097/00003246-199011000-00017

DO - 10.1097/00003246-199011000-00017

M3 - Article

SN - 0090-3493

VL - 18

SP - 1269

EP - 1273

JO - Critical Care Medicine

JF - Critical Care Medicine

IS - 11

ER -

Effects of clinical maneuvers on sonographically determined internal jugular vein size during venous cannulation

Abstract

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