Our technique of retrograde cannulation of internal iugular veins in head-brain injuries

Overview

Continuous monitoring of SjO2 and lactate concentration in iugular venous blood is used to screen for brain ischemia. This method deserves retrograde introduction of fiberoptic cannula to bulbus superior of internal iugular vein. Constant and well palpable points create anatomic landmarks for the introduction approach. Using this technique, introduction of the cannula can be performed easily, because the distance between puncture sites of the skin and vein is short, the head does not to be turned to one side with tilt in the neck. This is extremely important and advantageous especially in patients who suffered head-brain injury.

Key words:
SjO2 – lactate – retrograde cannulation – head-brain injury