|LETTER TO THE EDITOR
|Year : 2016 | Volume
| Issue : 3 | Page : 162-163
The static ultrasound-guided technique for internal jugular vein cannulation
Mohammad Reza Sasani
Department of Radiology, Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
|Date of Web Publication||7-Oct-2016|
Dr. Mohammad Reza Sasani
Department of Radiology, Nemazee Teaching Hospital, Zand Street, Shiraz
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sasani MR. The static ultrasound-guided technique for internal jugular vein cannulation. MAMC J Med Sci 2016;2:162-3
I read, with interest, the article entitled, "Comparison of the landmark technique and the static ultrasound-guided technique for internal jugular vein cannulation in adult cardiac surgical patients" by Tempe et al.  published in this journal. I would like to draw attention to the possible explanations for the poor results with the use of the static ultrasound assistance in this study: The authors concluded that static ultrasound technique for internal jugular vein (IJV) cannulation has inferior result compared to the landmark technique, and in this way, ultrasound is not of benefit to adult cardiac surgical patients.
With regard to the literature, the static ultrasound assistance is superior to traditional landmark approach for successful IJV cannulation. 
The possible explanation for the poor results with the use of the static ultrasound technique is the type of probe that has been used in this study. With the mentioned probe, the operator needs to move the probe for marking the skin at two points, which could be the cause of incorrect marking and eventually inferior results. Suitable probe is a linear array probe that simultaneously shows the course of vein as well as the adjacent overlying soft tissue so that the skin can be marked without the probe displacement. Moreover, the poor results with this technique may be attributed to the lack of attention to some details such as angle between the probe and the skin surface or distance between the IJV's wall and the skin surface.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Tempe DK, Hasija S, Saigal D, Sanwal MK, Virmani S, Satyarthi S. Comparison of the landmark technique and the static ultrasound-guided technique for internal jugular vein cannulation in adult cardiac surgical patients. MAMC J Med Sci 2016;2:89-93.
Milling TJ Jr., Rose J, Briggs WM, Birkhahn R, Gaeta TJ, Bove JJ, et al
. Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The third sonography outcomes assessment program (SOAP-3) trial. Crit Care Med 2005;33:1764-9.