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Microsurgical Skills of Establishing Permanent Jugular Vein Cannulation in Rats for Serial Blood Sampling of Orally Administered Drug

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Pitfalls in internal jugular vein cannulation.

Deb Sanjay Nag¹, Amlan Swain², Seelora Sahu²

¹Department of Anaesthesiology, Tata Main Hospital, Jamshedpur 831001, Jharkhand, India. ds.nag@tatasteel.com.

World Journal of Clinical Cases

|April 25, 2024

Summary

Central venous catheter insertion into the internal jugular vein (IJV) is common in acute care. While convenient and often guided by ultrasound, IJV cannulation carries significant risks of serious complications.

Keywords:

Arteriovenous fistula Cardiac tamponade Catheterization Central venous Complications Pneumothorax Thoracic duct Vocal cord paralysis

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Area of Science:

Medical Procedures
Vascular Access
Patient Safety

Background:

Internal jugular vein (IJV) cannulation is a frequent procedure in acute care settings.
Ultrasound guidance enhances ease and safety but does not eliminate risks.
Complications associated with IJV catheterization can have severe patient outcomes.

Discussion:

This review synthesizes existing literature on complications of IJV cannulation.
Complications range from minor to life-threatening, impacting patient safety.
Understanding these risks is crucial for healthcare providers performing the procedure.

Key Insights:

IJV catheterization, despite its benefits, is associated with a wide spectrum of potential complications.
Awareness and vigilance are paramount to mitigate risks.
The literature highlights the need for comprehensive understanding of IJV cannulation adverse events.

Outlook:

Further research may focus on refining techniques to minimize IJV cannulation complications.
Enhanced training protocols incorporating complication management are recommended.
Continued monitoring of patient outcomes is essential for improving IJV catheterization safety.