• Naoko Fujii, Yoshihiko Kishi, Hironobu Tanigami, Kiyokazu Kagawa, Yoshimi Asakura, Shunji Sonoda, Yuki Hiuge, and Yuka Miyata.
• Department of Anesthesiology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka 537-8511.
• Masui. 2010 Aug 1;59(8):985-8.

BackgroundWe are accustomed to right internal jugular vein (IJV) cannulation guided by pulsation for 20 years or more. This study was conducted to evaluate whether this method is a safe and certain method.MethodsAfter obtaining informed consent, 100 elective surgical patients requiring central venous catheterization during perioperative period were randomly assigned to either the pulsation group in which IJV pulsation was used for a landmark of puncture or the US group in which IJV was recognized with ultrasonography before puncture.ResultsPulsation was observed in 98 patients. Successful rate of first attempt with a 23 G seeking needle was 85.7% in the pulsation group and 86% in the US group. IJV was successfully cannulated at 1 pass in the entire pulsation group and 92% in the US group. The frequency of puncture with cannula was significantly lower in the pulsation group than that of the US group. Arterial puncture with the seeking needle was recorded in 3 patients in the US group. Successful rate of first attempt in this study was comparable to other studies using ultrasonographic guidance.ConclusionsInternal jugular vein cannulation by pulsation method is a safe and certain method.

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