Assessment of head and neck position for optimal ultrasonographic visualisation of the internal jugular vein and its relation to the common carotid artery: a prospective observational study

Conclusion: There is a wide variation in anatomical location of the IJV in relation to the CCA as seen by USG. Excessive head rotation causes overlap of IJV over CCA which may cause inadvertent arterial puncture, even under USG guidance. Thus, it is preferable to cannulate the IJV in neutral or near neutral head and neck position.

Source: Journal of Anaesthesiology Clinical Pharmacology - February 17, 2020 Category: Anesthesiology Authors: Gaurav Purohit Rangraj Setlur Mridul Dhar Sidharth Bhasin Source Type: research