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Ultrasound for central venous access – the debate

Authors
Journal
Anaesthesia & intensive care medicine
1472-0299
Publisher
Elsevier
Publication Date
Volume
5
Issue
1
Identifiers
DOI: 10.1383/anes.5.1.0.28109
Keywords
  • Anatomy
  • Anaesthetics
  • Accident & Emergency Medicine

Abstract

Abstract Localization of the internal jugular vein (IJV) for central venous catheter (CVC) insertion is an area of intense debate. It has been estimated that about 200,000 central venous access procedures are performed annually in the NHS and most involve the placement of CVCs into the IJV in the perioperative/ICU setting. Although CVC insertion into the IJV is generally a safe procedure, there are important hazards, notably carotid arterial puncture and incorrect catheter placement, either of which may be serious in high-risk patients. Rarely, pneumothorax may occur, but it is more commonly associated with subclavian vein puncture.

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