title: Shoulder manipulation to facilitate central vein catheterization from the external jugular vein.
abstract: Manipulation of the shoulder to facilitate passage of J-wires past the clavicle during external jugular vein catheterization was tested prospectively in 111 adult patients undergoing cardiac surgery. On 10 of 25 occasions when the wire would not pass into the thorax, manipulation of the shoulder then allowed the wire to pass.
authors.affiliation: Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, New South Wales.
authors.forename: C J
authors.initials: CJ
authors.lastname: Sparks
authors.forename: I
authors.initials: I
authors.lastname: McSkimming
authors.forename: L
authors.initials: L
authors.lastname: George
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002407:Catheterization, Swan-Ganz; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000033:anatomy & histology; D008297:Male; D008349:Manipulation, Orthopedic; D011446:Prospective Studies; D012782:Shoulder; D014683:Vena Cava, Superior / Q000033:anatomy & histology