Back to Journals » Risk Management and Healthcare Policy » Volume 4

Anatomic considerations for central venous cannulation

Authors Bannon M, Heller S, Rivera

Published 13 April 2011 Volume 2011:4 Pages 27—39


Review by Single anonymous peer review

Peer reviewer comments 4

Michael P Bannon, Stephanie F Heller, Mariela Rivera
Department of Surgery, Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, Minnesota, USA

Abstract: Central venous cannulation is a commonly performed procedure which facilitates resuscitation, nutritional support, and long-term vascular access. Mechanical complications most often occur during insertion and are intimately related to the anatomic relationship of the central veins. Working knowledge of surface and deep anatomy minimizes complications. Use of surface anatomic landmarks to orient the deep course of cannulating needle tracts appropriately comprises the crux of complication avoidance. The authors describe use of surface landmarks to facilitate safe placement of internal jugular, subclavian, and femoral venous catheters. The role of real-time sonography as a safety-enhancing adjunct is reviewed.

Keywords: Internal jugular vein, cannulation, ultrasound, venipuncture

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.