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Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

409
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
409
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

14
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

113
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
113
Veins of Head and Neck01:19

Veins of Head and Neck

2.3K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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Comparative evaluation between external jugular and internal jugular venous catheterization through landmark

Hitesh Khanna1, Sachin Shouche2, Shalendra Singh1

  • 1Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune, India.

Journal of Perioperative Practice
|March 22, 2023
PubMed
Summary

Central vein cannulation is vital for patient care. This study found external jugular vein cannulation to be a viable alternative to internal jugular vein cannulation, with faster procedure times and comparable complication rates.

Keywords:
Central venous cannulationExternal jugular veinInternal jugular veinLandmark technique

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Area of Science:

  • Medical Procedures
  • Anesthesiology
  • Vascular Access

Background:

  • Central venous cannulation is essential for hemodynamic management when peripheral access is not feasible.
  • The internal jugular vein is the preferred site, but alternatives are needed when it's inaccessible.
  • The feasibility of external jugular vein cannulation as an alternative remains unclear.

Purpose of the Study:

  • To compare the feasibility of external jugular vein cannulation versus internal jugular vein cannulation.
  • To evaluate success rates, cannulation time, number of attempts, and complication incidence.
  • To determine the efficacy of the external jugular vein as a secondary central venous access site.

Main Methods:

  • A prospective, randomized, double-blinded study involving 100 patients.
  • Central venous catheters were inserted via landmark technique into either the internal jugular vein (n=50) or external jugular vein (n=50).
  • Data on cannulation attempts, time, and complications were meticulously recorded.

Main Results:

  • Internal jugular vein cannulation had a success rate of 88% versus 78% for the external jugular vein (p=0.17).
  • External jugular vein cannulation was significantly quicker (p=0.01).
  • Complications were observed in 20% of internal jugular vein cases and 28% of external jugular vein cases, with more severe complications in the internal jugular vein group.

Conclusions:

  • Anesthetists should consider alternative central venous cannulation routes.
  • External jugular vein cannulation presents a feasible and efficient alternative.
  • This technique offers a valuable option when the internal jugular vein is not accessible.