{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:40Z","timestamp":1787071720147,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Use of ultrasound (US) during internal jugular vein (IJV) cannulation reduces the risk of associated complications in children under general anaesthesia. We studied the effect of two varieties of supraglottic airway device (SGAD), the Ambu AuraOnce\u2122 LMA (Ambu LMA), and i-gel\u2122 on the anatomical relationship between IJV and common carotid artery (CCA). Both these SGAD are known to have similar safety profile in paediatric age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 62 children were randomly allocated into 2 groups. In group L: Ambu AuraOnce\u2122 LMA (Ambu LMA) and in group I: i-gel\u2122 was inserted. After induction of GA, US images were taken with head in neutral and 30 degrees rotated to the opposite side both before and after insertion of SGAD. The relationship between IJV and CCA was noted as lateral, anterolateral, and anterior. Degree of overlap between the two vessels was also noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Lateral rotation of the head significantly alters the relationship between the IJV and CCA and also increases the degree of overlap between them. Though these changes were noted to be similar with both varieties of SGAD, but between the two varieties of SGAD, these changes were significantly higher in group I.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Higher oesophageal sealing pressure exerted by i-gel\u2122 as compared to other SGAD might cause increased distortion of the surrounding soft tissue leading to altered anatomical relationship between IJV and CCA, which makes the CCA vulnerable to puncture during IJV cannulation using landmark technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_747_18","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T23:52:46Z","timestamp":1644105166000},"page":"114-118","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Ultrasonographic assessment of altered anatomical relationship between internal jugular vein and common carotid artery with supraglottic airway in children: LMA vs i-gel\u2122"],"prefix":"10.4103","volume":"63","author":[{"given":"Rakhi","family":"Khemka","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Critical Care and Pain, Tata Medical Center, 14, MAR (EW), Newtown, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal","family":"Rastogi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Critical Care and Pain, Tata Medical Center, 14, MAR (EW), Newtown, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunangshu","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Critical Care and Pain, Tata Medical Center, 14, MAR (EW), Newtown, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subir","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Critical Care and Pain, Tata Medical Center, 14, MAR (EW), Newtown, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251205","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S1051-0443(98)70277-5","article-title":"US-guided puncture of the internal jugular vein: Complications and anatomic considerations","volume":"9","author":"Gordon","year":"1998","journal-title":"J Vasc Interv Radiol"},{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.2214\/ajr.171.5.9798857","article-title":"Sonographic guidance when using the right internal jugular vein for central vein access","volume":"171","author":"Caridi","year":"1998","journal-title":"AJR Am J Roentgenol"},{"key":"R3-20251205","first-page":"195","article-title":"Ultrasound monitoring in cannulation of the internal jugular vein: Anatomic and technical considerations","volume":"47","author":"Docktor","year":"1996","journal-title":"Can Assoc Radiol J"},{"key":"R4-20251205","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1097\/00003246-199203000-00021","article-title":"Ultrasound-facilitated central venous cannulation","volume":"20","author":"Koski","year":"1992","journal-title":"Crit Care Med"},{"key":"R5-20251205","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1053\/jcrc.2002.34364","article-title":"Use of ultrasound to place central lines","volume":"17","author":"Keenan","year":"2002","journal-title":"J Crit Care"},{"key":"R6-20251205","doi-asserted-by":"crossref","first-page":"731","DOI":"10.2214\/ajr.169.3.9275887","article-title":"A sonographically guided technique for central venous access","volume":"169","author":"Teichgraber","year":"1997","journal-title":"AJR Am J Roentgenol"},{"issue":"Suppl 1","key":"R7-20251205","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1111\/j.1460-9592.2009.02997.x","article-title":"A critique of elective pediatric supraglottic airway devices","volume":"19","author":"White","year":"2009","journal-title":"Paediatr Anaesth"},{"key":"R8-20251205","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1111\/anae.12746","article-title":"A systematic review and meta-analysis of the i-gel vs laryngeal mask airway in children","volume":"69","author":"Choi","year":"2014","journal-title":"Anaesthesia"},{"key":"R9-20251205","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1046\/j.1365-2044.1999.01223.x","article-title":"The LMA and difficulty with internal jugular vein cannulation","volume":"54","author":"Riley","year":"1999","journal-title":"Anaesthesia"},{"key":"R10-20251205","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1046\/j.1365-2044.1998.0617f.x","article-title":"Iatrogenic puncture of the laryngeal mask airway cuff","volume":"53","author":"Patel","year":"1998","journal-title":"Anaesthesia"},{"key":"R11-20251205","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/00000542-200512000-00006","article-title":"Optimal puncture site of the right internal jugular vein after laryngeal mask airway placement","volume":"103","author":"Takeyama","year":"2005","journal-title":"Anesthesiology"},{"key":"R12-20251205","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/j.1460-9592.2010.03459.x","article-title":"The anatomic relationship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An ultrasonographic study","volume":"21","author":"Nagaraja","year":"2011","journal-title":"Paediatr Anaesth"},{"key":"R13-20251205","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/j.1460-9592.2011.03754.x","article-title":"Displacement of the common carotid artery after laryngeal mask airway placement in infants and children","volume":"22","author":"Matsuda","year":"2012","journal-title":"Paediatr Anaesth"},{"key":"R14-20251205","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1097\/ALN.0b013e318219d619","article-title":"Performance of the pediatric-sized i-gel compared with the Ambu aura once laryngeal mask in anesthetized and ventilated children","volume":"115","author":"Theiler","year":"2011","journal-title":"Anesthesiology"},{"key":"R15-20251205","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/j.1365-2044.1994.tb03421.x","article-title":"Neutral head position for placement of internal jugular vein catheters","volume":"49","author":"Willeford","year":"1994","journal-title":"Anaesthesia"},{"key":"R16-20251205","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00000542-199607000-00007","article-title":"Internal jugular vein and carotid artery anatomic relation as determined by ultrasonography","volume":"85","author":"Troianos","year":"1996","journal-title":"Anesthesiology"},{"key":"R17-20251205","article-title":"Intersurgical: User guide: i-gel\u00ae supraglottic airway, adult and paediatric sizes","year":"2010","journal-title":"Intersurgical, Wokingham, Berkshire, United Kingdom"},{"key":"R18-20251205","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1111\/pan.12483","article-title":"Evaluation of i-gel TM airway in children: A meta-analysis","volume":"24","author":"Maitra","year":"2014","journal-title":"Paediatr Anaesth"},{"key":"R19-20251205","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1111\/anae.12830","article-title":"A performance comparison of the paediatric i-gel TM with other supraglottic airway devices","volume":"70","author":"Smith","year":"2015","journal-title":"Anaesthesia"},{"key":"R20-20251205","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1111\/j.1460-9592.2005.01427.x","article-title":"The ProSeal laryngeal mask airway in children","volume":"15","author":"Lopez-Gil","year":"2005","journal-title":"Paediatr Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01762628-201963020-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:52:15Z","timestamp":1787068335000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01762628-201963020-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_747_18","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}