title: Optimal insertion lengths of right and left internal jugular central venous catheters in children.
abstract: BACKGROUND
  Knowledge of the optimal lengths for central venous catheterization prior to the procedure may lessen the need for repositioning and prevent vascular complications.
  
  
  OBJECTIVE
  To establish the optimal lengths for non-tunneled central venous catheter insertion through the right and left internal jugular veins.
  
  
  METHODS
  We included 92 children who received US-guided central venous catheterization via right or left internal jugular veins in intensive care units. The calculated distance between the skin and carina was considered the optimal length for right and left internal jugular venous catheterization. Univariate and multivariate linear regression analyses was used to identify predictors.
  
  
  RESULTS
  Age, height and weight showed significant correlations with optimal insertion lengths for right and left internal jugular vein approaches on univariate analysis, while height was the only significant independent predictor of optimal insertion length.
  
  
  CONCLUSIONS
  The optimal insertion lengths (cm) suggested by our data are, for the right internal jugular vein 0.034 × height (cm) + 3.173, and for the left 0.072 × height (cm) + 2.113.
authors.affiliation: Department of Radiology, Seoul National University Hospital, Seoul, South Korea.
authors.forename: Young Hun
authors.initials: YH
authors.lastname: Choi
authors.forename: Jung-Eun
authors.initials: JE
authors.lastname: Cheon
authors.forename: Seung Han
authors.initials: SH
authors.lastname: Shin
authors.forename: Su-Mi
authors.initials: SM
authors.lastname: Shin
authors.forename: So Mi
authors.initials: SM
authors.lastname: Lee
authors.forename: Hyun-Hae
authors.initials: HH
authors.lastname: Cho
authors.forename: Woo Sun
authors.initials: WS
authors.lastname: Kim
authors.forename: In-One
authors.initials: IO
authors.lastname: Kim
mesh_terms: D001837:Body Weights and Measures; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D062905:Central Venous Catheters; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional