Journal of clinical monitoring
-
Randomized Controlled Trial Comparative Study Clinical Trial
Doppler-guided cannulation of the internal jugular vein: a prospective, randomized trial.
The internal jugular vein (IJ) is commonly used as an access to the central venous system. Despite the high success rate for cannulation of the IJ, the incidence of complications (1% to 16%) has remained essentially the same, with most complications resulting from unintentional punctures of surrounding structures. In an attempt to reduce the complication rate of this technique, we evaluated the use of a Doppler-guided needle device to cannulate the IJ. ⋯ The Doppler-guided cannulation technique can reduce the number of attempts required for successful IJ cannulation.
-
Pulmonary arterial catheter (PAC) placement under fluoroscopy is a useful and safe method to diagnose certain congenital cardiac anomalies [1]. However, when a PAC for intraoperative monitoring is placed without the aid of fluoroscopy, it may be inadvertently placed into anomalous veins. The following report presents a case of persistent left superior vena cava (PLSVC) with absence of right superior vena cava, which was not detected by a PAC inserted via the right internal jugular vein.