Neutral head position for placement of internal jugular vein catheters.

Abstract:

:A new approach to the internal jugular vein is described which keeps the head and neck in the neutral position and uses bony and cartilaginous landmarks for guidelines. Venous puncture is made along an axial line drawn superiorly from the lateral edge of the bony depression caused by the insertion of the sternocleidomastoid muscle on the superior edge of the clavicle. This line, at the level of the cricoid cartilage, lies directly over the internal jugular vein. In 55 patients initially studied, the mean (SEM) number of puncture attempts to locate the vein was 1.4 (0.2) per patient, with an overall success rate of 98%. In 84%, the internal jugular vein was located exactly where predicted, the others were just lateral to the point. The complication rate (all short-term) was 3.6%. Subsequently the internal jugular vein was cannulated successfully using the developed technique in 20 consecutive trauma patients with suspected cervical instability. An average of 1.2 (0.2) (range 1-3) attempts were made per patient to locate the vein and there were no complications. We propose this technique as a safe and reliable method of gaining central venous access in patients with possible cervical spine injury following trauma.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Willeford KL,Reitan JA

doi

10.1111/j.1365-2044.1994.tb03421.x

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

202-4

issue

3

eissn

0003-2409

issn

1365-2044

journal_volume

49

pub_type

杂志文章
  • Comparison of anxiety before induction of anaesthesia in the anaesthetic room or operating theatre.

    abstract::Anxiety before induction of anaesthesia was studied in 100 patients who were allocated randomly to one of two groups. Patients in one group were anaesthetised in an anaesthetic room and those in the other group were anaesthetised inside the operating theatre. Both subjective and objective induces of anxiety were used ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1989.tb13586.x

    authors: Soni JC,Thomas DA

    更新日期:1989-08-01 00:00:00

  • TACR1 gene polymorphism and sex differences in postoperative nausea and vomiting.

    abstract::We hypothesised that the genetic effect of single nucleotide polymorphisms in the TACR1 gene, which encodes NK1 receptors, could influence the sex difference in postoperative nausea and vomiting. Thirty-two selected single nucleotide polymorphisms were genotyped by the Sanger sequencing method in 200 patients who unde...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13082

    authors: Hayase T,Sugino S,Moriya H,Yamakage M

    更新日期:2015-10-01 00:00:00

  • Bedside tests for predicting difficult airways: an abridged Cochrane diagnostic test accuracy systematic review.

    abstract::Although bedside screening tests are routinely used to identify people at high risk of having a difficult airway, their clinical utility is unclear. We estimated the diagnostic accuracy of commonly used bedside examination tests for assessing the airway in adult patients without apparent anatomical abnormalities sched...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14608

    authors: Roth D,Pace NL,Lee A,Hovhannisyan K,Warenits AM,Arrich J,Herkner H

    更新日期:2019-07-01 00:00:00

  • Nathan Keep--William Morton's Salieri?

    abstract::Dr Nathan Cooley Keep (1800-1875) was a Boston dentist and doctor who carried our pioneering work in both dentistry and anaesthesia. He worked with William Morton before the first public demonstration of ether anaesthesia, formed the world's first anaesthetic partnership with Morton but parted company with him and lat...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1995.tb04563.x

    authors: Keep P

    更新日期:1995-03-01 00:00:00

  • Dutch case-control study of anaesthesia-related morbidity and mortality. Rationale and methods.

    abstract::To date, anaesthesia-related mortality, morbidity and risk factors have almost exclusively been studied qualitatively rather than quantitatively. Therefore, knowledge of the relative risk associated with many anaesthesia-related factors is still lacking. Recently, a quantitative study of the determinants and preventio...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00303.x

    authors: Arbous MS,Grobbee DE,van Kleef JW,Meursing AE

    更新日期:1998-02-01 00:00:00

  • Pharyngeal abscess presenting with upper airway obstruction and atlanto-axial subluxation in a small infant.

    abstract::We describe an infant who presented with a combination of upper airway obstruction and atlanto-axial subluxation, secondary to a pharyngeal abscess resulting from cosmetic ear piercing. This combination posed a number of difficulties for the anasthetist and a detailed plan was formulated to prepare the child for anast...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.01278.x

    authors: Brookes A,Moriarty A

    更新日期:2000-05-01 00:00:00

  • Awake fibreoptic intubation in the semi-prone position following facial trauma.

    abstract::A fit 27-year-old man presented with severe facial trauma following an industrial accident. Initial assessment showed severe swelling around the lower jaw and haemorrhage from the mouth, nose, scalp and left ear. The patient was conscious with a Glasgow Coma Score of 13 but in respiratory distress. Following adoption ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb15004.x

    authors: Neal MR,Groves J,Gell IR

    更新日期:1996-11-01 00:00:00

  • Aspiration in severe trauma: a prospective study.

    abstract::The incidence and origin of contamination of the vocal cords in 53 trauma patients was studied when tracheal intubation was performed before hospital admission. Eighteen patients (34%) had gross contamination which was blood in 15 patients and gastric contents in three patients. This has implications for prehospital a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00754.x

    authors: Lockey DJ,Coats T,Parr MJ

    更新日期:1999-11-01 00:00:00

  • Haemodynamic effects of intravenous nimodipine following aneurysmal subarachnoid haemorrhage: implications for monitoring.

    abstract::Nimodipine is widely used in patients with aneurysmal subarachnoid haemorrhage for the prevention and treatment of delayed ischaemic neurological deficits. Intravenous nimodipine has significant vasodilatory properties and may compromise the achievement of haemodynamic targets in patients who receive hypertensive hype...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1997.112-az0105.x

    authors: Radhakrishnan D,Menon DK

    更新日期:1997-05-01 00:00:00

  • The role of serratus anterior plane and pectoral nerves blocks in cardiac surgery, thoracic surgery and trauma: a qualitative systematic review.

    abstract::Serratus anterior plane and pectoral nerves blocks are recently described alternatives to established regional anaesthesia techniques in cardiac surgery, thoracic surgery and trauma. We performed a systematic review to establish the current state of evidence for the analgesic role of these fascial plane blocks in thes...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1111/anae.15000

    authors: Jack JM,McLellan E,Versyck B,Englesakis MF,Chin KJ

    更新日期:2020-10-01 00:00:00

  • Phenylbutazone self-poisoning treated by charcoal haemoperfusion.

    abstract::A case is presented of a patient who ingested a potentially fatal dose of phenylbutazone. Her clinical condition deteriorated despite adequate supportive therapy and the use of charcoal haemoperfusion proved life-saving. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06256.x

    authors: Strong JE,Wilson J,Douglas JF,Coppel DL

    更新日期:1979-11-01 00:00:00

  • Reduction of postoperative vomiting in high-risk patients.

    abstract::Twenty-eight patients who had a history of severe postoperative vomiting were divided into two groups. The first group received various anaesthetic drugs and the second group received a pethidine promethazine premedication and thiopentone, alcuronium, fentanyl and droperidol. There was a significant reduction in posto...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1984.tb07244.x

    authors: Fisher MM

    更新日期:1984-03-01 00:00:00

  • A comparison of remifentanil and alfentanil in patients undergoing major abdominal surgery.

    abstract::The efficacy and safety of remifentanil and alfentanil for patients undergoing major abdominal surgery were compared. Premedicated patients received a loading dose of remifentanil (1.0 microgram.kg-1; n = 116) and a continuous infusion of 0.5 microgram.kg-1.min-1, or a loading dose of alfentanil (25 micrograms.kg-1; n...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.24-az0051.x

    authors: Schüttler J,Albrecht S,Breivik H,Osnes S,Prys-Roberts C,Holder K,Chauvin M,Viby-Mogensen J,Mogensen T,Gustafson I,Lof L,Noronha D,Kirkham AJ

    更新日期:1997-04-01 00:00:00

  • A comparison of the clinical use of the Laryngeal Tube S and the ProSeal Laryngeal Mask Airway by first-month anaesthesia residents in anaesthetised patients.

    abstract::The Laryngeal Tube S and the LMA-ProSeal are supraglottic instruments with an improved airway seal and a drainage tube to protect against regurgitation and to facilitate passage of a gastric tube. We compared the feasibility of these two instruments in a randomised, controlled clinical trial. One hundred and sixty pat...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05073.x

    authors: Klaver NS,Kuizenga K,Ballast A,Fidler V

    更新日期:2007-07-01 00:00:00

  • Tracheal intubating conditions using propofol and remifentanil target-controlled infusions.

    abstract::Using target-controlled infusions (TCI) we aimed to determine the most appropriate dose of remifentanil required for intubation, using a steady effect-site concentration of propofol and without the use of neuromuscular blocking drugs. Sixty ASA III patients presenting for elective surgery were randomly allocated to on...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2002.02624_3.x

    authors: Troy AM,Huthinson RC,Easy WR,Kenney GN

    更新日期:2002-12-01 00:00:00

  • Obstetric anaesthesia in dystrophia myotonica.

    abstract::Two patients with dystrophia myotonica presented for urgent Caesarean section. Their per- and postoperative courses illustrate the anaesthetic problems posed by this disease. Respiratory difficulties are compounded by pregnancy and there is increased susceptibility to uterine haemorrhage. Choice of anaesthetic agent i...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14498.x

    authors: Blumgart CH,Hughes DG,Redfern N

    更新日期:1990-01-01 00:00:00

  • The nasopharyngeal airway. Assessment of position by fibreoptic laryngoscopy.

    abstract::Artificial nasopharyngeal airway position and performance were assessed in 120 anaesthetised adult patients. Using a fibreoptic laryngoscope mean distances from nares to larynx were measured at 209 mm (SD 11) in males and 180 mm (SD 11) in females; those from nares to epiglottis were 159 mm (SD 12) in males and 140 mm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07119.x

    authors: Stoneham MD

    更新日期:1993-07-01 00:00:00

  • Ketamine infusions. Observations on technique, dosage and cardiovascular effects.

    abstract::A continuous infusion of ketamine, following an initial dose of 1 mg/kg, has been used as sole anaesthetic in over 200 adult patients. The pre-operative use of 4 mg lorazepam has made this acceptable with respect to emergence sequelae and dreams. The technique can be used with neuromuscular blocking drugs and controll...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb12414.x

    authors: Lilburn JK,Dundee JW,Moore J

    更新日期:1978-04-01 00:00:00

  • Awake insertion of the laryngeal mask airway using topical lidocaine and intravenous remifentanil.

    abstract::We assessed the use of intravenous remifentanil for the insertion of the laryngeal mask airway in 10 healthy awake volunteers, a technique primarily developed to facilitate functional magnetic resonance imaging studies of anaesthesia. Each volunteer received 200 microg glycopyrronium intravenously. Topical airway anae...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04471.x

    authors: Lee MC,Absalom AR,Menon DK,Smith HL

    更新日期:2006-01-01 00:00:00

  • Treatment of acute total atelectasis. Use of a double lumen tube.

    abstract::Three cases are described of complete collapse of a lung in the absence of bronchial obstruction. The condition was treated by the application of a sustained high pressure (6 kPa) to the affected lung through one limb of a double lumen bronchial tube whilst intermittent positive pressure ventilation was continued thro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10707.x

    authors: Murray JF

    更新日期:1985-02-01 00:00:00

  • Conservation ethics and anaesthesia.

    abstract::The current attitude of conservators towards restoration is to preserve objects and materials in the condition as they are but without attempting to restore them 'as new'. Museum objects have generally ceased to serve their original utilitarian function but have become objects for study, information and inspiration. C...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03402.x

    authors: Houghton IT

    更新日期:2003-10-01 00:00:00

  • Plasma morphine concentrations after intramuscular injection into the deltoid or gluteal muscles.

    abstract::The absorption of morphine 10 mg after intramuscular injection into the gluteal and deltoid muscles was investigated. Ten patients received the injection into the deltoid and 10 were given the injection into the upper outer quadrant of the buttock. Blood was taken at frequent intervals up to 2 hours after the injectio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb08976.x

    authors: Kirkpatrick T,Henderson PD,Nimmo WS

    更新日期:1988-04-01 00:00:00

  • The laryngeal mask airway in children.

    abstract::The laryngeal mask airway was used in 200 children during a variety of surgical procedures. Some problem with the use of the device was encountered in 47 cases (23%), but in only five cases (2.5%) were the problems serious enough to warrant abandonment of its use. A clear airway was ultimately achieved in 191 children...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1990.tb14449.x

    authors: Mason DG,Bingham RM

    更新日期:1990-09-01 00:00:00

  • The use of etomidate infusions during anaesthesia for cardiopulmonary bypass.

    abstract::The effects of cardiopulmonary bypass and hypothermia were studied on the plasma concentration and metabolism of a continuous infusion of etomidate in six patients. Continuous etomidate infusions (20 micrograms/kg/minute) with analgesic cover may be a suitable anaesthetic for cardiac surgery. This rate of infusion pro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb15183.x

    authors: Oduro A,Tomlinson AA,Voice A,Davies GK

    更新日期:1983-07-01 00:00:00

  • An international consensus statement on the management of postoperative anaemia after major surgical procedures.

    abstract::Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day expert workshop and developed the followin...

    journal_title:Anaesthesia

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1111/anae.14358

    authors: Muñoz M,Acheson AG,Bisbe E,Butcher A,Gómez-Ramírez S,Khalafallah AA,Kehlet H,Kietaibl S,Liumbruno GM,Meybohm P,Rao Baikady R,Shander A,So-Osman C,Spahn DR,Klein AA

    更新日期:2018-11-01 00:00:00

  • The management of tracheal rupture using bilateral bronchial intubation.

    abstract::The management of a patient who required positive pressure ventilation following pharyngolaryngo-oesophagectomy during which tracheal injury was sustained is described. Ventilation with a tracheal tube resulted in a massive pneumoperitoneum. Bilateral bronchial intubation was employed with success. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06906.x

    authors: Mitchell JB,Ward PM

    更新日期:1993-03-01 00:00:00

  • Optimisation of the organ donor and effects on transplanted organs: a narrative review on current practice and future directions.

    abstract::Mortality remains high for patients on the waiting list for organ transplantation. A marked imbalance between the number of available organs and recipients that need to be transplanted persists. Organs from deceased donors are often declined due to perceived and actual suboptimal quality. Adequate donor management off...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15037

    authors: Bera KD,Shah A,English MR,Harvey D,Ploeg RJ

    更新日期:2020-09-01 00:00:00

  • Pain and clinical thrombophlebitis following intravenous diazepam and lorazepam.

    abstract::Eighty-seven per cent of surgical patients receiving undiluted diazepam experienced pain on injection while 6-16%, depending on the dose, manifested evidence of clinical thrombophlebitis. This was improved when diazepam, 10 mg, was diluted to 20-40 ml with intravenous solution. In contrast, lorazepam appeared to have ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1978.tb08348.x

    authors: Graham CW,Pagano RR,Conner JT

    更新日期:1978-02-01 00:00:00

  • Evaluation of the disposable Vital View laryngoscope apparatus.

    abstract::The Vital View laryngoscope (Vital Signs, NJ, USA) consists of a plastic disposable blade containing a fibrelight and a non-disposable handle; there is therefore no need to sterilise the blade and no concern about disintegration of the fibrelight. In a random cross-over design, we compared the Vital View laryngoscope ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2001.01906.x

    authors: Asai T,Uchiyama Y,Yamamoto K,Johmura S,Shingu K

    更新日期:2001-04-01 00:00:00

  • A national survey into the peri-operative anaesthetic management of patients presenting for surgical correction of a fractured neck of femur.

    abstract::We conducted a national postal survey of trauma anaesthetists in the UK to ascertain current practice for the peri-operative anaesthetic management in patients with fractured necks of femur. We received 155 replies from 218 questionnaires sent (71.1% response rate). Regional anaesthesia was preferred by 75.8% of respo...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2044.2007.05328.x

    authors: Sandby-Thomas M,Sullivan G,Hall JE

    更新日期:2008-03-01 00:00:00