What are the operating steps for internal jugular vein puncture

Venipuncture has an important therapeutic effect on many venous diseases, especially in cases where the peripheral veins are severely hardened or collapsed. Since many patients have never undergone this type of surgery, they have no idea about it and are more concerned about the process of internal jugular vein puncture. So, what are the operating steps of internal jugular vein puncture? Let’s take a detailed look at it below.

1. The patient lies supine with the puncture lower limb slightly abducted and externally rotated. The puncture point is 1.5 to 3.0 cm below and inside the center of the inguinal ligament and on the inner side of the femoral artery pulsation.

2. The operator wears a hat and mask and stands beside the patient, disinfects the local skin, wears sterile gloves, and lays a sterile drape. Gently compress the skin and femoral vein at the puncture point and slightly secure them.

3. Hold the syringe in your right hand and insert the needle into the fixed puncture point on the index and middle fingers of your left hand. The direction of the needle should be at an angle of 30 to 45 degrees to the skin at the puncture site, in line with the direction of blood flow or in a perpendicular direction. Insert the needle slowly while aspirating.

4. When the puncture needle enters the femoral vein, venous blood will flow back into the injection needle tube. After the needle is inserted for 2 to 4 nHn, blood can be drawn or drugs can be injected.

5. If blood cannot be drawn out, puncture deeper first, and use aspiration while withdrawing the needle until blood is drawn out; or adjust the puncture direction, depth or puncture again.

6. After the puncture is completed, pull out the needle and disinfect the skin, cover it with a sterile gauze, apply local pressure for 3 to 5 minutes to prevent bleeding, and then fix it with tape.

The above is an introduction to the operating steps of internal jugular vein puncture. I hope it will be helpful for patients. Internal jugular vein puncture is a type of surgery that requires relatively high technical content. If this surgery must be performed, patients are advised to choose a regular hospital. This will not only ensure the effectiveness of the surgery, but more importantly, greatly reduce the complications that may be caused by the surgery.