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KMID : 0371420150880020114
Annals of Surgical Treatment and Research
2015 Volume.88 No. 2 p.114 ~ p.117
Posterior triangle approach for lateral in-plane technique during hemodialysis catheter insertion via the internal jugular vein
Song Dan

Yun Sang-Chul
Cho Sung-Woo
Abstract
A recent widespread concept is that ultrasound-guided central venous catheter insertion is a mandatory method. Some techniques have been introduced for ultrasound-guided central venous catheterization. Among them, short-axis lateral in-plane technique is considered to be the most useful technique for internal jugular vein access. Therefore, we used this technique for the insertion of a large-bore cuffed tunneled dual-lumen catheter for hemodialysis. Additionally, a lesser number of catheter angulations may lead to good flow rates and catheter function; we recommend that skin puncture site in the neck at the posterior triangle is better than the Sedillot¡¯s triangle. Using this approach, we can reduce the possible complications of pinching and kinking of the catheter.
KEYWORD
Central venous catheters, Renal dialysis, Ultrasonography, Punctures
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