To describe the possible ultrasound guidance techniques for the insertion of central venous catheters (CVCs), with emphasis particularly to the lateral short axis in-plane technique.
Methods
Numerous articles have shown significant benefits of using ultrasound guidance for venous access. Two main approaches to vein puncture are available, when considering visualization of the needle during its entry into the vein under the ultrasound beam: in-plane and out-of-plane, which can be combined with two types of vein visualization, placing the ultrasound probe on the vein long axis or short axis.
Results
Advantages and limitations in internal jugular vein (IJV) cannulation for long-term dialysis CVCs are described for the above-mentioned approaches and visualizations. The lateral short axis in-plane technique has virtually no limitations, ensuring most benefits.
Conclusions
The lateral short axis in-plane technique should be considered the first-line technique for IJV cannulation.
LeglerD., NugentM.Doppler localization of the internal jugular vein facilitates central venous cannulation. Anesthesiology.1984; 60(5): 481–482.
2.
LampertiM., BodenhamA.R., PittirutiM.International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med.2012; 38(7): 1105–1117.
3.
McGeeD.C., GouldM.K.Preventing complications of central venous catheterization. N Engl J Med.2003; 348(12): 1123–1133.
4.
DenysB.G., UretskyB.F., ReddyP.S.Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique. Circulation.1993; 87(5): 1557–1562.
5.
GallieniM., CozzolinoM.Uncomplicated central vein catheterization of high risk patients with real time ultrasound guidance. Int J Artif Organs.1995; 18(3): 117–121.
6.
ChittoodanS., BreenD., O'DonnellB.D., IohomG.Long versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial. Med Ultrason.2011; 13: 21–25.
7.
PittirutiM.Ultrasound guided central vascular access in neonates, infants and children. Curr Drug Targets.2012; 13(7): 961–969.
8.
BannonM.P., HellerS.F., RiveraM.Anatomic considerations for central venous cannulation. Risk Manag Healthc Policy.2011; 4: 27–39.
9.
TurbaU.C., UflackerR., HanneganC., SelbyJ.B.Anatomic relationship of the internal jugular vein and the common carotid artery applied to percutaneous transjugular procedures. Cardiovasc Intervent Radiol.2005; 28(3): 303–306.
KusminskyR.E.Complications of central venous catheterization. J Am Coll Surg.2007; 204(4): 681–696.
12.
TuS., WangX., BaiL.Complications of 1309 internal jugular vein cannulations with the anatomic landmarks technique in infants and children. J Vasc Access.2012; 13(2): 198–202.
13.
TroianosC.A., HartmanG.S., GlasK.E.Councils on Intraoperative Echocardiography and Vascular Ultrasound of the American Society of Echocardiography. Guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr.2011; 24(12): 1291–1318.
14.
BishopL., DoughertyL., BodenhamA.Guidelines on the insertion and management of central venous access devices in adults. Int J Lab Hematol.2007; 29(4): 261–278.
SchifferC.A., ManguP.B., WadeJ.C.Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol.2013; 31(10): 1357–1370.
17.
RandolphA.G., CookD.J., GonzalesC.A., PribbleC.G.Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med.1996; 24(12): 2053–2058.
18.
HindD., CalvertN., McWilliamsR.Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ.2003; 327(7411): 361.
19.
CalvertN., HindD., McWilliamsR., DavidsonA., BeverleyC.A., ThomasS.M.Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness. Anaesthesia.2004; 59(11): 1116–1120.
BlaivasM., AdhikariS.An unseen danger: frequency of posterior vessel wall penetration by needles during attempts to place internal jugular vein central catheters using ultrasound guidance. Crit Care Med.2009; 37(8): 2345–2349, quiz 2359.
22.
RossiU.G., DahmaneM., PetrocelliF., PatroneL., GolaG., FerroC.Comparison between vertical and lateral ultrasound-guided technique for percutaneous internal jugular venous cannulation in permanent central venous access. Cardiovasc Intervent Radiol.2012; 35(Suppl 1): S211.
