Boulanger M, Delva E, Paiement B
Can Anaesth Soc J. 1976 Nov;23(6):609-15. doi: 10.1007/BF03006743.
This paper describes a new technique for the canulation of the internal jugular vein. A transsection of the neck at the level of C4 (upper border of the thyroid cartilage) (Figure 1) shows the relative position of the internal jugular vein, the carotid artery and the sternocleidomastoid muscle. The internal jugular vein at this level is more superficial than is usually imagined. A cutaneous point of entry placed at the level of the thyroid cartilage on the medial border of the sternocleidomastoid muscle would be directly above, at the zenith of the carotid artery. From that point, moving a needle externally hugging the posterior aspect of the muscle will make it possible to reach the vein while actually moving away from the carotid artery.
本文描述了一种颈内静脉插管的新技术。在C4水平（甲状软骨上缘）进行颈部横切（图1），可显示颈内静脉、颈动脉和胸锁乳突肌的相对位置。此水平的颈内静脉比通常想象的更表浅。在胸锁乳突肌内侧缘甲状软骨水平处确定一个皮肤进针点，该点将直接位于颈动脉的上方、最高点。从该点开始，将穿刺针贴着肌肉后侧向外移动，有可能在实际远离颈动脉的同时到达静脉。
