Safe jugular and subclavian venipuncture under ultrasonographic guidance. 1987

J Machi, and J Takeda, and T Kakegawa

Although jugular and subclavian venipuncture is a valuable technique and frequently utilized, blind venipuncture is at times associated with complications such as arterial puncture, pneumothorax, and malpositioning of catheters. We performed venipuncture under the guidance of high-resolution real-time ultrasonography, and these catheter-related complications were prevented. Jugular, subclavian and innominate veins and arteries, the pleura, and the lung are all delineated by supraclavicular and subclavicular scanning, and the needle and catheter can also be visualized. Ultrasonographically-assisted jugular and subclavian venipuncture is a simple and helpful procedure to carry out safe venipuncture. This method is particularly recommended for less experienced physicians and for more accurate puncture in patients with distorted cervical or subclavicular anatomic characteristics.

UI MeSH Term Description Entries
D007601 Jugular Veins Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins. Jugular Vein,Vein, Jugular,Veins, Jugular
D011677 Punctures Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures. Micropunctures,Micropuncture,Puncture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013350 Subclavian Vein The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein. Subclavian Veins,Vein, Subclavian,Veins, Subclavian
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic

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