Ultrasound guidance is recommended for cannulation of the internal jugular vein. Use of ultrasound allows you to identify relevant anatomy and possible anatomical anomalies. The most common approach is performed while visualizing the vein transversely and inserting the needle out of plane to the probe. With this approach needle tip visualization may be difficult. We report the use of a new biplane ultrasound probe which allows the user to simultaneously view the internal jugular vein in transverse and longitudinal views in real time. Use of this probe enhances needle visualization during venous cannulation.
Kaplowitz, J. and Bigeleisen, P. (2014) A new biplane ultrasound probe for real-time visualization and cannulation of the internal jugular vein. Case Reports in Anesthesiology. March 13th. (epub ahead of print).