title: [External jugular vein as central venous access in intensive care patients].
abstract: The authors studied 98 patients in need of a central venous line route, joined into two different groups: Group 1 - 62 (63.3%) patients, and Group 2 - 36 (36.7%). All the patients had a visible external jugular vein while on Trendelenburg position. According to the Seldinger technique using a J-wire guided catheter the authors describe a maneuver to make it easy to advance the catheter. Patients from Group 1 had the technique applied by operators with previous experience, and patients from Group 2 by operators with no previous experience, but under supervision. There was no significant difference in the success rate between these two groups: 96.8% in Group 1 and 94.4% in Group 2 (p > 0.5). There was only one case of local bleeding, managed by local compression.
authors.affiliation: Unidade de Terapia Intensiva, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
authors.forename: F D
authors.initials: FD
authors.lastname: Costa
authors.forename: R
authors.initials: R
authors.lastname: de Cleva
authors.forename: E V
authors.initials: EV
authors.lastname: da Motta
authors.forename: M C
authors.initials: MC
authors.lastname: Machado
authors.forename: H W
authors.initials: HW
authors.lastname: Pinotti
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D003422:Critical Care; D006801:Humans; D007601:Jugular Veins
vernacular_title: Veia jugular externa como acesso venoso central em pacientes de terapia intensiva.