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. 2014:2014:349797.
doi: 10.1155/2014/349797. Epub 2014 Mar 13.

A new biplane ultrasound probe for real-time visualization and cannulation of the internal jugular vein

Jeremy Kaplowitz  1 , Paul Bigeleisen  1
Affiliations

A new biplane ultrasound probe for real-time visualization and cannulation of the internal jugular vein

Jeremy Kaplowitz et al. Case Rep Anesthesiol. 2014.

Abstract

Ultrasound guidance is recommended for cannulation of the internal jugular vein. Use of ultrasound allows you to identify relevant anatomy and possible anatomical anomalies. The most common approach is performed while visualizing the vein transversely and inserting the needle out of plane to the probe. With this approach needle tip visualization may be difficult. We report the use of a new biplane ultrasound probe which allows the user to simultaneously view the internal jugular vein in transverse and longitudinal views in real time. Use of this probe enhances needle visualization during venous cannulation.

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Figures

Figure 1
Figure 1
A pictorial depiction of the BK 8824 US probe showing the configuration of the transverse and longitudinal transducers. T: transverse transducers; L: longitudinal transducer.
Figure 2
Figure 2
Images from our use in a Blue Phantom training phantom with an 18 gauge 40 millimeter VascularSono cannula (Pajunk USA, Norcross, GA). This is the ideal view that can be obtained with this probe. You can clearly see the needle entering the simulated vein in both views, and the tip is clearly in the lumen in the longitudinal view. V: simulated vein.
Figure 3
Figure 3
A depiction of the intended probe position over the IJ. In this orientation the transverse transducer is cephalad. T: transverse transducer; L: longitudinal transducer; IJ: internal jugular vein; CA: carotid artery.
Figure 4
Figure 4
Real-time biplane view of the guide wire during central venous cannulation in our patient. The guidewire is visible in the lumen of the IJ in both views. IJ: internal jugular vein; CA: carotid artery.
See this image and copyright information in PMC

References

    1. Ray BR, Mohan VK, Kashyap L, Shende D, Darlong VM, Pandey RK. Internal jugular vein cannulation: a comparison of three techniques. Journal of Anaesthesiology Clinical Pharmacology. 2013;29(3):367–371. - PMC - PubMed
    1. Mehta N, Valesky WW, Guy A, Sinert R. Systematic review: is real-time ultrasonic-guided central line placement by ED physicians more successful than the traditional landmark approach? Emergency Medicine Journal. 2013;30(5):355–359. - PubMed
    1. Dowling M, Jlala HA, Hardman JG, Bedforth NM. Real-time three-dimensional ultrasound-guided central venous catheter placement. Anesthesia and Analgesia. 2011;112(2):378–381. - PubMed
    1. Wu SY, Ling Q, Cao LH, Wang J, Xu MX, Zeng WA. Real-time two-dimensional ultrasound guidance for central venous cannulation: a meta-analysis. Anesthesiology. 2013;118:361–375. - PubMed
    1. Ball RD, Scouras NE, Orebaugh S, Wilde J, Sakai T. Randomized, prospective, observational simulation study comparing residents needle-guided vs free-hand ultrasound techniques for central venous catheter access. British Journal of Anaesthesia. 2012;108(1):72–79. - PubMed

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