Your browser doesn't support javascript.
loading
Cannulation needle-induced anterior wall tenting of internal jugular vein causing posterior wall penetration.
Yoshida, Hitoshi; Yaguchi, Shinya; Itaya, Hiroyuki; Ito, Kazuo; Hatanaka, Ryo; Nakai, Kishiko; Hirota, Kazuyoshi.
Afiliación
  • Yoshida H; Department of Emergency and Disaster Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan. hyoshida@cc.hirosaki-u.ac.jp.
  • Yaguchi S; Department of Emergency and Disaster Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
  • Itaya H; Department of Surgery, Hirosaki Chuo Hospital, Hirosaki, Japan.
  • Ito K; Department of Cardiovascular Surgery, Aomori Municipal Hospital, Aomori, Japan.
  • Hatanaka R; Department of Surgery, Hirosaki Chuo Hospital, Hirosaki, Japan.
  • Nakai K; Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
  • Hirota K; Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
J Anesth ; 29(3): 467-470, 2015 Jun.
Article en En | MEDLINE | ID: mdl-25365942
Unintentional posterior venous wall penetration during internal jugular vein (IJV) cannulation may cause critical arterial injuries in spite of ultrasound guidance. We aimed to evaluate whether small venous diameter and anterior venous wall tenting by a needle would be associated with posterior venous wall penetration, and to seek factors related to the venous wall tenting. We conducted a retrospective review in patients who underwent IJV cannulation. Using an ultrasound view obtained when puncturing, venous diameter, venous wall thickness, anterior venous wall tenting length, and needle angle were measured, and posterior venous wall penetration was determined. Eleven cannulations in 56 patients were assigned to posterior venous wall penetration. Small venous diameter (p = 0.004), and long anterior venous wall tenting (p = 0.007) were associated with posterior venous wall penetration. The longer anterior venous tenting would be expected with reducing needle angle (p = 0.004) or increasing anterior venous wall thickness (p = 0.006). In conclusion, small IJV and anterior venous wall tenting lead to posterior venous wall penetration. Anterior venous wall tenting is longer with reducing needle angle, or increasing the anterior venous wall thickness.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Punciones / Venas Yugulares Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Anesth Asunto de la revista: ANESTESIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Punciones / Venas Yugulares Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Anesth Asunto de la revista: ANESTESIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón