Malik Madhur, Chauhan Sandeep, Vijayakanthi Bhuvana, Talwar Sachin, Nair Vinitha V, Vasdev Sumit
Department of Cardiac Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):566-8. doi: 10.1510/icvts.2011.280727. Epub 2011 Sep 1.
The internal jugular vein continues to be the preferred site for cannulation to monitor central venous pressure despite the reported evidence of the accuracy of external jugular venous pressure (EJVP) to reliably predict internal jugular venous pressure (IJVP). Internal jugular venous cannulation carries a risk of thrombosis that can be life-threatening in children undergoing superior cavopulmonary anastomosis and a subsequent Fontan procedure. The present study compared IJVP and EJVP in children undergoing superior cavopulmonary anastomosis and found no statistical and clinical difference between IJVP and EJVP. Thus, external jugular vein cannulation reliably predicts IJVP and pulmonary artery pressures in children undergoing superior cavopulmonary anastomosis, and may obviate the risk of life-threatening cavopulmonary thrombosis.
尽管有报道称颈外静脉压（EJVP）在可靠预测颈内静脉压（IJVP）方面具有准确性，但颈内静脉仍是用于监测中心静脉压的插管首选部位。颈内静脉插管存在血栓形成的风险，这对于接受上腔静脉-肺动脉吻合术及后续Fontan手术的儿童可能是危及生命的。本研究比较了接受上腔静脉-肺动脉吻合术儿童的颈内静脉压和颈外静脉压，发现两者在统计学和临床上均无差异。因此，颈外静脉插管能够可靠地预测接受上腔静脉-肺动脉吻合术儿童的颈内静脉压和肺动脉压，并且可能消除危及生命的腔肺血栓形成风险。
