Extract:
“Ultrasound is thus an invaluable tool for all central venous cannulations as it helps in delineating not only the anatomical variants but also the abnormal post-surgical anatomy; however, clinical correlation should not be ignored.
One has to be aware that not all compressible structures in the neck are vascular structures. It is important to understand the underlying pathology and identify the coincidental pathologies like cystic lesions in the neck which may mimic vascular structures to avert central line insertion-related complications.”
Reference:Pandya ST, Krishna JS. Importance of ultrasound for central venous cannulation in detecting anatomical aberration in the neck. Indian J Anaesth. 2022 Nov;66(11):807-808. doi: 10.4103/ija.ija_589_22. Epub 2022 Nov 18. PMID: 36590193; PMCID: PMC9795495.