Changes in the position of the internal jugular catheter tip due to head movement : a retrospective study

increases the overlap between the internal jugular

vein and common carotid artery.９）This anatomical

１． M a l b e z i n S , G a u s s T , S m i t h I , B r u n e a u B ,

shift due to head rotation may have influenced

Mangalsuren N, Diallo T, et al. : A review of 5434

percutaneous pediatric central venous catheters

catheter tip displacement in some cases. In contrast,

inserted by anesthesiologists. Paediatr Anaesth 2013;

we cannot deny the possibility that differences in

the puncture position and fixation method of the

catheter, which we did not investigate in this study,

23: 974-979

２． Miller JA, Singireddy S, Maldjian P, Baker SR:

A reevaluation of the radiographically detectable

could have influenced catheter tip displacement.

complications of percutaneous venous access lines

This study has several limitations. Data collection

inserted by four subcutaneous approaches. Am Surg

was performed by a single unblinded observer,

which may have introduced bias. In addition, we

collected data regarding CVC insertions only into the

1999; 65: 125-130

３．

Prabaharan B, Thomas S: Spontaneous migration of

central venous catheter tip following extubation. Saudi

right internal jugular vein, which is the usual site of

insertion. We noted a few cases wherein the CVC

J Anaesth 2014; 8: 131-133

４．

Kim YJ, Kim WY: Sudden hypotension occurring

after 4 days of left-sided central catheter placement. J

was inserted into the left internal jugular vein, but

we could not investigate those cases. Finally, the left

head rotation angle was not uniform, head flexion

Thorac Dis 2017; 9: E771-E773

５． Rasuli P, Hammond DI, Peterkin IR: Spontaneous

intrajugular migration of long-term central venous

and extension were likely present in some cases,

and puncture position was not constant. In clinical

practice, it is impossible for the head movement to

access catheters. Radiology 1992; 182: 822-824

６． Kim JT, Kim HJ, Ahn W, Kim HS, Bahk JH, Lee

SC, et al. : Head rotation, flexion, and extension alter

be limited to a certain angle or to puncture at the

endotracheal tube position in adults and children. Can J

same place at all times. Therefore, it can be said that

our result is based on actual clinical practice.

Anaesth 2009; 56: 751-756

７． Andropoulos DB, Bent ST, Skjonsby B, Stayer SA:

The optimal length of insertion of central venous

catheters for pediatric patients. Anesth Analg 2001; 93:

Conclusion

883-886

Our data showed that left head rotation did not

８． Struck MF, Jünemann T, Reinhart K, Schummer W:

Central venous catheter tip migration due to tracheal

significantly displace the catheter tip position in

extubation: a prospective randomized study. J Clin

pediatric patients. However, in some cases, left head

rotation caused catheter advancement or withdrawal,

which could lead to severe complications. Physicians

Monit Comput 2017; 31: 951-959

９． Ozcelik M, Guclu C, Meco B, Oztuna D, Kucuk A,

and nurses who perform perioperative catheter

management should keep in mind that changing the

head position may sometimes causes the catheter

－11－

Yalcin S, et al. : The airway device preference may

affect the overlapping of the common carotid artery

by the internal jugular vein. Paediatr Anaesth 2016; 26:

1148-1156

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