Abstract
Key Clinical MessageThe presence of Internal Jugular Valves can pose a diagnostic and procedural challenge during ultrasound‐guided cannulation. After ruling out dissection, thrombus, or ultrasound artifacts, it can still be accessed and successfully cannulated with appropriate precautions including use of Live ultrasound, positioning, use of soft‐tipped catheters, and minimizing duration of catheter placement.
Highlights
Follow this and additional works at: https://uknowledge.uky.edu/anesthesiology_facpub Part of the Anesthesiology Commons, and the Cardiovascular System Commons
A 67-year-old man admitted to the Intensive Care Unit for management of pneumonia with Septic Shock, on mechanical ventilator support was undergoing a central line cannulation in his right internal jugular vein (IJV) using ultrasound guidance
IJV can still be accessed for catheterization in the presence of a valve, the risks including thrombus and valve incompetency should be kept in mind
Summary
Dwarakanath, Sanjay; Cheriyan, Monica; and Rebel, Annette, "Dilemma During Ultrasound-Guided Internal Jugular Venous Catheterization" (2017). This article is available at UKnowledge: https://uknowledge.uky.edu/anesthesiology_facpub/9
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