Central Venous Access via Tunneled Anterior Approach to Internal Jugular Vein Periprocedural Care

1. Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med. 2012 Aug. 40 (8):2479-85. [Medline].

2. Breschan C, Platzer M, Jost R, Stettner H, Likar R. Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound. Br J Anaesth. 2010 Aug. 105 (2):179-84. [Medline].

3. Rodrigues AF, van Mourik ID, Sharif K, Barron DJ, de Giovanni JV, Bennett J, et al. Management of end-stage central venous access in children referred for possible small bowel transplantation. J Pediatr Gastroenterol Nutr. 2006 Apr. 42 (4):427-33. [Medline].

4. Suarez T, Baerwald JP, Kraus C. Central venous access: the effects of approach, position, and head rotation on internal jugular vein cross-sectional area. Anesth Analg. 2002 Dec. 95 (6):1519-24, table of contents. [Medline].

5. Lamperti M, Subert M, Cortellazzi P, Vailati D, Borrelli P, Montomoli C, et al. Is a neutral head position safer than 45-degree neck rotation during ultrasound-guided internal jugular vein cannulation? Results of a randomized controlled clinical trial. Anesth Analg. 2012 Apr. 114 (4):777-84. [Medline].

6. Darouiche RO, Wall MJ Jr, Itani KM, Otterson MF, Webb AL, Carrick MM, et al. Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis. N Engl J Med. 2010 Jan 7. 362 (1):18-26. [Medline].

7. Augoustides JG, Cheung AT. Pro: ultrasound should be the standard of care for central catheter insertion. J Cardiothorac Vasc Anesth. 2009 Oct. 23 (5):720-4. [Medline].

8. Arul GS, Livingstone H, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of 2.7 Fr tunnelled Broviac lines in neonates and small infants. Pediatr Surg Int. 2010 Aug. 26 (8):815-8. [Medline].

9. Goldstein SD, Pryor H, Salazar JH, Dalesio N, Stewart FD, Abdullah F, et al. Ultrasound-Guided Percutaneous Central Venous Access in Low Birth Weight Infants: Feasibility in the Smallest of Patients. J Laparoendosc Adv Surg Tech A. 2015 Sep. 25 (9):767-9. [Medline].

10. Galloway S, Bodenham A. Long-term central venous access. Br J Anaesth. 2004 May. 92 (5):722-34. [Medline].

11. Bishop L, Dougherty L, Bodenham A, Mansi J, Crowe P, Kibbler C, et al. Guidelines on the insertion and management of central venous access devices in adults. Int J Lab Hematol. 2007 Aug. 29 (4):261-78. [Medline].

12. Premuzic V, Perkov D, Smiljanic R, Brunetta Gavranic B, Jelakovic B. The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality. Blood Purif. 2017. 43 (4):315-320. [Medline].

13. Funaki B. Central venous access: a primer for the diagnostic radiologist. AJR Am J Roentgenol. 2002 Aug. 179 (2):309-18. [Medline].

14. Silberzweig JE, Mitty HA. Central venous access: low internal jugular vein approach using imaging guidance. AJR Am J Roentgenol. 1998 Jun. 170 (6):1617-20. [Medline].

15. Ortega R, Song M, Hansen CJ, Barash P. Videos in clinical medicine. Ultrasound-guided internal jugular vein cannulation. N Engl J Med. 2010 Apr 22. 362 (16):e57. [Medline].

16. Murphy PC, Arnold P. Ultrasound-assisted vascular access in children. Contin Educ Anaesth Crit Care Pain. 2011 Apr. 11 (2):44-9. [Full Text].

Krishna Kumar Govindarajan, MBBS, MS, MCh, MRCS, DNB Associate Professor and Consultant Pediatric Surgeon, Jawaharlal Institute of Postgraduate Medical Education and Research, India

Krishna Kumar Govindarajan, MBBS, MS, MCh, MRCS, DNB is a member of the following medical societies: American College of Surgeons, Association of Colon and Rectal Surgeons of India, Association of Minimal Access Surgeons of India, Association of Surgeons of India, British Association of Paediatric Surgeons, Indian Association of Pediatric Surgeons, International College of Surgeons, National Academy of Medical Sciences (India)

Disclosure: Nothing to disclose.

Peter N Bromley, MBBS Consulting Anesthetist, Birmingham Children's Hospital

Peter N Bromley, MBBS is a member of the following medical societies: Medical Protection Society, Royal College of Anaesthetists, Association of Anaesthetists of Great Britain and Ireland

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Vincent Lopez Rowe, MD Professor of Surgery, Program Director, Vascular Surgery Residency, Department of Surgery, Division of Vascular Surgery, Keck School of Medicine of the University of Southern California

Vincent Lopez Rowe, MD is a member of the following medical societies: American College of Surgeons, American Surgical Association, Pacific Coast Surgical Association, Society for Clinical Vascular Surgery, Society for Vascular Surgery, Western Vascular Society

Disclosure: Nothing to disclose.

Gil Z Shlamovitz, MD, FACEP Associate Professor of Clinical Emergency Medicine, Keck School of Medicine, University of Southern California; Chief Medical Information Officer, Keck Medicine of USC

Gil Z Shlamovitz, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association

Disclosure: Nothing to disclose.

The author would like to thank Alexander Davey, medical student on summer studentship, Department of Anatomy, Queen’s University, Belfast; and Christopher Boyd, consultant radiologist, Belfast City Hospital, for permission to reproduce images media files 13 (Ultrasound-guided internal jugular vein [IJV] puncture [arrow shows needle entering IJV]), 14 (Double-lumen tunneled line), and 15 (Neck anatomy showing the course of the internal jugular vein [IJV]).

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