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Dilemma during ultrasound-guided internal jugular venous catheterization
Sanjay Dwarakanath1, Monica Cheriyan1,2, Annette Rebel1
1Department of Anesthesiology University of Kentucky Lexington Kentucky.
Clinical Case Reports
|October 14, 2017
Abstract:
The presence of Internal Jugular Valves can pose a diagnostic and procedural challenge during ultrasound-guided cannulation. After ruling out dissection, thrombus, or ultrasound artifacts, it can still be accessed and successfully cannulated with appropriate precautions including use of Live ultrasound, positioning, use of soft-tipped catheters, and minimizing duration of catheter placement.