Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants
Abstract The carina is considered a reliable marker for the depth of right internal jugular vein catheterization in infants on chest radiograph. In adult anatomy, the carina is typically located at the level of the fifth thoracic vertebra. We are not aware of a positional relationship between infant...
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| Format: | Article |
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Nature Portfolio
2022-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-18787-4 |
| _version_ | 1811188817015603200 |
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| author | Guoliang Liu Jianmin Zhang Fang Wang Heqi Liu |
| author_facet | Guoliang Liu Jianmin Zhang Fang Wang Heqi Liu |
| author_sort | Guoliang Liu |
| collection | DOAJ |
| description | Abstract The carina is considered a reliable marker for the depth of right internal jugular vein catheterization in infants on chest radiograph. In adult anatomy, the carina is typically located at the level of the fifth thoracic vertebra. We are not aware of a positional relationship between infant carina and thoracic vertebrae. Thus, we evaluated that a vertebral body may be at the same level as carina and can be as radiographic landmarks for the depth of right internal jugular vein catheterization in infants. In this retrospective analysis, 108 infants (aged 1–12 months) who underwent congenital heart surgery between January 1, 2019 and June 30, 2019 were included. We analyzed the post-operative chest radiographs of those who underwent right internal jugular vein catheterization and assessed the positional relationship of the carina and vertebral bodies. We measured the vertical distance of the central venous catheter (CVC) catheter tip from the carina (below the carina 22 mm, it may be close to or into the right atrium). In total, 95 children were enrolled; The carina was located at the third thoracic vertebra in two cases (2%) and at the fourth thoracic vertebra in 93 cases (98%). The distance between the tip of CVC and the carina was 10 (4, 15) mm, and 6.3% (6 cases) had the catheter tip at more than 22 mm below the carina. Most fourth thoracic vertebrae were at the same level as the carina on chest radiographs. Therefore, it has potential as a radiographic landmark for the depth of right internal jugular vein catheterization in infants on chest radiograph. |
| first_indexed | 2024-04-11T14:25:37Z |
| format | Article |
| id | doaj.art-7dc6eaeddb3942dca4851dba457a475c |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T14:25:37Z |
| publishDate | 2022-08-01 |
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| spelling | doaj.art-7dc6eaeddb3942dca4851dba457a475c2022-12-22T04:18:53ZengNature PortfolioScientific Reports2045-23222022-08-011211410.1038/s41598-022-18787-4Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infantsGuoliang Liu0Jianmin Zhang1Fang Wang2Heqi Liu3Department of Anesthesiology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Anesthesiology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Anesthesiology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Anesthesiology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthAbstract The carina is considered a reliable marker for the depth of right internal jugular vein catheterization in infants on chest radiograph. In adult anatomy, the carina is typically located at the level of the fifth thoracic vertebra. We are not aware of a positional relationship between infant carina and thoracic vertebrae. Thus, we evaluated that a vertebral body may be at the same level as carina and can be as radiographic landmarks for the depth of right internal jugular vein catheterization in infants. In this retrospective analysis, 108 infants (aged 1–12 months) who underwent congenital heart surgery between January 1, 2019 and June 30, 2019 were included. We analyzed the post-operative chest radiographs of those who underwent right internal jugular vein catheterization and assessed the positional relationship of the carina and vertebral bodies. We measured the vertical distance of the central venous catheter (CVC) catheter tip from the carina (below the carina 22 mm, it may be close to or into the right atrium). In total, 95 children were enrolled; The carina was located at the third thoracic vertebra in two cases (2%) and at the fourth thoracic vertebra in 93 cases (98%). The distance between the tip of CVC and the carina was 10 (4, 15) mm, and 6.3% (6 cases) had the catheter tip at more than 22 mm below the carina. Most fourth thoracic vertebrae were at the same level as the carina on chest radiographs. Therefore, it has potential as a radiographic landmark for the depth of right internal jugular vein catheterization in infants on chest radiograph.https://doi.org/10.1038/s41598-022-18787-4 |
| spellingShingle | Guoliang Liu Jianmin Zhang Fang Wang Heqi Liu Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants Scientific Reports |
| title | Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| title_full | Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| title_fullStr | Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| title_full_unstemmed | Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| title_short | Fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| title_sort | fourth thoracic vertebra as landmark for depth of right internal jugular vein catheterization in infants |
| url | https://doi.org/10.1038/s41598-022-18787-4 |
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