High versus low approach for internal jugular cannulation with double lumen catheters

Double lumen cannulae were inserted through the right internal jugular vein (IJV) in 100 children, undergoing open heart surgery. High approach (n = 50, group I) of IJV cannulation was compared with low approach (n = 50, group II). In both the groups, hydromer coated double lumen polyurethane cannulae (Hydrocath) were introduced using Seldinger's technique; 98 per cent success rate was achieved in both the groups. Tip of cannulae was in intrathoracic position in 100 per cent patients. One patient in group I had carotid artery puncture. Catheter blockage occurred in one patient each in both the groups. Double lumen catheters are easy to insert and offer two lumens through single puncture site.