Internal Jugular Vein Catheterization in Children. Safe vascular access
Authors:   Central Research Institute of Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, Russian Federation, Bykov M.V. ,   N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation, Majorov A.D. ,   Moscow Regional Center for the Protection of Maternity and Childhood, Lyubertsy, Russian Federation, Sytkov V.V. ,   Moscow Regional Center for the Protection of Maternity and Childhood, Lyubertsy, Russian Federation,   A.I.Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation,   Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency, Moscow, Russian Federation, Tsesareva M.S. ,   Moscow Regional Center for the Protection of Maternity and Childhood, Lyubertsy, Russian Federation, Nafikov V.S. ,   Moscow Regional Center for the Protection of Maternity and Childhood, Lyubertsy, Russian Federation, Schukin V.V. ,   Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation, Chernyshev D.V. ,   Infectious Clinical Hospital No 2 of the Moscow Healthcare Department, Moscow, Russian Federation, Smirnov D.A. ,   Podolsk Children City Hospital, Podolsk, Russian Federation, Antsupova M.A. ,   Z.A.Bashluaeva Children City Clinical Hospital, Moscow, Russian Federation, Bagaev V.G. ,   Research Institute for Emergency Child Surgery and Traumatology, Moscow, Russian Federation, Tishchenko N.S. ,   City Hospital Nо 5 – Mother and Child Health Center, Sevastopol, Russian Federation, Lazarev V.V. ,   N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation, Trunov V.O. ,   A.I.Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation,   Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency, Moscow, Russian Federation, Poddubnyj I.V. ,   A.I.Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation,   Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency, Moscow, Russian Federation
Published: July 2022

The paper discusses the topical issues of prevention of complications during puncture and catheterization of internal jugular veins (IJV) in children. Variants of anatomical organization of major vessels in the region of IJV puncture identified through ultrasound examination both at the time of screening and prior to IJV catheterization, which explain the high risk of complications during this manipulation, are described. The main directions for prevention of possible perforation of the vein posterior wall entailing injuries of anatomical substructures (branches of the carotid artery, vagus nerve) are given. The proprietary methodology of safe step-by-step catheterization of principal veins is provided. Reduction of the risk of complications during internal jugular vein catheterization thanks to usage of all steps described above has been convincingly demonstrated. Key words: intensive care in children, ultrasound examination, venous access, internal jugular vein catheterization