Users Online: 526 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Login 


RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
Kindly email your affirmation for print copies to [email protected] preferably by 30th June 2019.

 

 
Table of Contents
LETTER TO EDITOR
Year : 2020  |  Volume : 36  |  Issue : 2  |  Page : 270

Comment on: Assessment of head and neck position for optimal ultrasonographic visualization of the internal jugular vein and its relation to the common carotid artery: A prospective observational study


Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India

Date of Submission28-Feb-2020
Date of Acceptance12-Mar-2020
Date of Web Publication15-Jun-2020

Correspondence Address:
Dr. Sohan L Solanki
Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Dr E Borges Road, Parel, Mumbai - 400 012, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacp.JOACP_93_20

Rights and Permissions

How to cite this article:
Solanki SL, Doctor JR. Comment on: Assessment of head and neck position for optimal ultrasonographic visualization of the internal jugular vein and its relation to the common carotid artery: A prospective observational study. J Anaesthesiol Clin Pharmacol 2020;36:270

How to cite this URL:
Solanki SL, Doctor JR. Comment on: Assessment of head and neck position for optimal ultrasonographic visualization of the internal jugular vein and its relation to the common carotid artery: A prospective observational study. J Anaesthesiol Clin Pharmacol [serial online] 2020 [cited 2020 Oct 26];36:270. Available from: https://www.joacp.org/text.asp?2020/36/2/270/286796



Madam,

We read with interest the article “Assessment of head and neck position for optimal ultrasonographic visualization of the internal jugular vein and its relation to the common carotid artery: A prospective observational study” by Purohit et al.[1] The author has conducted a very good study regarding the assessment of neck position and ultrasonographic visualization of internal jugular vein (IJV) and its relation to the common carotid artery (CCA) in different head rotations. However, we wish to add certain points regarding this study. A successful central venous cannulation (which is the main aim of ultrasonographic visualization of IJV and CCA) depends on 2 factors—a good size of the IJV and a favorable position of IJV in relation to CCA. The IJV size or diameter (on both right and left side of neck) varies according to the site of a puncture in the neck. The IJV and CCA traverse in the triangle formed by two heads of the sternocleidomastoid muscle and IJV can be punctured anywhere from the apex, middle, or base of the triangle. In a similar study done by us in healthy volunteers,[2] we found that as one goes down from apex to base of the triangle, the diameter of IJV increases on both the right and left side of the IJV. The most favorable position of IJV in relation to CCA is lateral and the next favorable is anterolateral. For successful IJV cannulation neutral or 30-degree head rotation is considered as the most favorable as compared to other head rotations. We want to highlight that while cannulating the IJV, it is always safer and better to visualize the largest diameter of IJV in addition to the most favorable position of IJV in relation to CCA by choosing apex, middle, or base of the triangle formed by sternocleidomastoid muscle by ultrasonographic visualization.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Purohit G, Setlur R, Dhar M, Bhasin S. 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. J Anaesthesiol Clin Pharmacol 2020;36:62-5.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Solanki SL, Doctor JR, Kapila SJ, Jain A, Joshi M, Patil VP. Ultrasonographic assessment of internal jugular vein diameter and its relationship with the carotid artery at the apex, middle, and base of the triangle formed by two heads of sternocleidomastoid muscle: A pilot study in healthy volunteers. Saudi J Anaesth 2018;12:578-83.  Back to cited text no. 2
    




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
   References

 Article Access Statistics
    Viewed271    
    Printed10    
    Emailed0    
    PDF Downloaded121    
    Comments [Add]    

Recommend this journal