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2017, Number 1

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Rev Cub Med Int Emerg 2017; 16 (1)

Ultrasonographic static references for the internal jugular vein catheterization in critically ill patients

Abdo A, Castellanos R, Benítez Y, Suarez J, Machado RE, Gutiérrez JA, Castellanos A, González D, Leal G, Gómez F

Language: Spanish
References: 16
Page: 58-64
PDF size: 493.34 Kb.


ABSTRACT

Introduction: deep vein catheterization is one of the most frequent procedures performed in intensive care units for critically ill patients. Real-time ultrasonography has become the technique of choice for internal jugular vein (IJV) catheterization. The channeling by anatomical referents is a blind technique. The static ultrasonography technique could represent an intermediate because of it requires less training and provides greater benefit than the classical anatomical reference.
Objectives: to present a group of basic experiences related with ultrasonography references by the use of an ultrasound in its static modality for the catheterization of IJV in a series of cases.
Method: It is presented data of ultrasonography references of ten critically ill patients admitted at Intensive Care Unit of the Surgery and Clinic Research Center, Havana Cuba, from October 2015 to October 2016. The results were compared with the literature.
Results: the anatomic relationship between IJV-Internal Carotid Artery (ICA) which predominated on the right side was the lateral position (60%) of IJV respect to ICA. In the left IJV anterior and lateral position (40%) predominated. The largest diameter of IJV was the right side (80%).
Conclusions: there is a great anatomical variability of the IJV-ICA ratio which justifies the use of ultrasonography for IJV catheterization. In units without ultrasound it is recommended to select the right side in the first option and do not make more than three channeling attempts.


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