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Korean J Anesthesiol > Volume 44(5); 2003 > Article
Korean Journal of Anesthesiology 2003;44(5):620-625.
DOI: https://doi.org/10.4097/kjae.2003.44.5.620   
A New External-landmark Technique of Right Internal Jugular Vein Cannulation.
Gaab Soo Kim, Jeong Jin Lee, Hyun La Park, Chung Soo Kim, Hyun Sung Cho, Ik Soo Chung
Department of Anesthesiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jjlee@smc.samsung.co.kr
Abstract
BACKGROUND
Central venous cannulation is one of the important parts of anesthetic management. Because general anesthesia causes external-landmarks (e.g. sternocleidomastoid muscle, carotid artery pulse) indistinct, we developed a new external landmark for internal jugular vein cannulation that can be easily detected under general anesthesia.
METHODS
We cannulated the right internal jugular vein of 110 patients under general anesthesia. We used the external jugular vein and cricoid cartilage as a landmark.
RESULTS
Cannulation of the right internal jugular vein was successful in 108 out of 110 patients (98.2%). Patients required an average 1.48+/-0.63 attempts. There were 2 carotid punctures (1.8%), 3 discomforts (2.7%) and no brachial plexus irritation.
CONCLUSIONS
This new landmark technique has a high success rate and few complications.
Key Words: Central venous catheters; cricoid cartilage; external jugular vein; external landmark; internal jugular vein


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