Percutaneous catheterization of the internal jugular vein

Two techniques for catheterization of the internal jugular vein are described in detail. In a group of 108 adults and 54 children, catheterization of the internal jugular vein was attempted 168 times. Failure to achieve catheterization occurred 12 times. The success rate for the first 50 patients was 86%, but it increased with experience, and was nearly 96% for the remaining patients. Almost 90% of catherizations were achieved on the first or second attempt. The success rate was understandably lower in the children's group. Catheter malpositioning occurred infrequently (six times) and was most common in the children's group. There were few complications, although two were of a serious nature. The techniques described are straightforward, easy to master and perform, and are recommended as useful additions to the anaesthetist's clinical armamentarium.