{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T19:43:27Z","timestamp":1774899807675,"version":"3.50.1"},"reference-count":28,"publisher":"The Korean Society of Anesthesiologists","issue":"1","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2023,1,31]]},"abstract":"<jats:p>Background: Establishing intravenous (IV) access is an essential procedure in surgical patients. External jugular vein (EJV) cannulation can be a good alternative for patients for whom it is difficult to establish peripheral IV access. We aimed to investigate the feasibility and safety of EJV cannulation in surgical patients.Methods: We performed a retrospective review of EJV cannulation in patients who underwent anesthesia for surgery at a tertiary hospital between 2010 and 2021. We collected clinical characteristics, including EJV cannulation-related variables, from the anesthetic records. We also investigated the EJV cannulation-related complications, which included any EJV cannulation-related complications (insertion site swelling, infection, thrombophlebitis, pneumothorax, and arterial cannulation) within 7 days after surgery, from the electronic medical records during the hospitalization period for surgery.Results: We analyzed 9,482 cases of 9,062 patients for whom EJV cannulation was performed during anesthesia. The most commonly performed surgery was general surgery (49.6%), followed by urologic surgery (17.5%) and obstetric and gynecologic surgery (15.7%). Unplanned EJV cannulation was performed emergently during surgery for 878 (9.3%) cases. The only EJV cannulation-related complication was swelling at the EJV-cannula insertion site (65 cases, 0.7%). There was only one case of unplanned ICU admission due to swelling related to EJV cannulation.Conclusions: Our study showed the feasibility and safety of EJV cannulation for surgical patients with difficult IV access or those who need additional large-bore IV access during surgery. EJV cannulation can provide safe and reliable IV access with a low risk of major complications in a surgical patient.<\/jats:p>","DOI":"10.17085\/apm.22171","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T06:06:56Z","timestamp":1670220416000},"page":"84-91","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Retrospective analysis of the feasibility and safety of external jugular vein cannulation in surgical patients"],"prefix":"10.17085","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7971-0993","authenticated-orcid":true,"given":"Jae-Woo","family":"Ju","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1985-1804","authenticated-orcid":true,"given":"Yoonbin","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7134-5044","authenticated-orcid":true,"given":"Ho-Jin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.02.004"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13444"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10051042"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1500964"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.4103\/ija.ija_672_20"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4172\/2155-6148.1000144"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199903000-00048"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/0310057x8501300203"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(84)90038-x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.07.048"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/cc1428"},{"key":"ref12","first-page":"168","volume-title":"The Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. 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