Volume 23 No.1, April 2016


FOCUSED REVIEW

Long-axis view for ultrasound-guided central venous catheter placement via the internal jugular vein

Angel F. Mahan1, Matthew D. McEvoy2, Nikolaus Gravenstein3

1 Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA
2 Department of Anesthesiology, Vanderbilt University Medical Center, Tennessee, USA
3 Department of Anesthesiology and Critical Care, University of Florida College of Medicine, Gainesville, Florida, USA

DOI: http://dx.doi.org/10.21454/rjaic.7518.231.axs

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Abstract

Background. In modern practice, real-time ultrasound guidance is commonly employed for the placement of internal jugular vein catheters. With a new tool, such as ultrasound, comes the opportunity to refine and further optimize the ultrasound view during jugular vein catheterization. We describe jugular vein access techniques and use the long-axis view as an alternative to the commonly employed short-axis cross-section view for internal jugular vein access and cannulation.

Conclusion. The long-axis ultrasound-guided internal jugular vein approach for internal jugular vein cannulation is a useful alternative technique that can provide better needle tip and guidewire visualization than the more traditional short-axis ultrasound view.

Keywords: cannulation, ultrasound, internal jugular vein, venous catheterization, short axis, long axis