LETTER TO EDITOR
Patient positioning and access-site selection during central venous cannulation in patients with raised intracranial pressure: a reply
1
2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Poland
2
Department of Anesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, Poland
Submission date: 2026-06-18
Acceptance date: 2026-10-13
Publication date: 2026-11-04
Corresponding author
Ryszard Gawda
Department of Anesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, 26 Witosa St., 45-401 Opole, Poland
Department of Anesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, 26 Witosa St., 45-401 Opole, Poland
Anaesthesiol Intensive Ther 2026;58(1):223-225
TOPICS
REFERENCES (11)
1.
Zhang R, Li L. Commentary: Patient positioning during central venous cannulation in neurocritical care: an evidence gap across guidelines. Anaesthesiol Intensive Ther 2026; 58: 221-222. DOI: 10.5114/ait/241709.
2.
Zawadka M, Czarnik T, Gawda R, Miłobędzka M, Trzebicka J, Królicki T, et al. Central venous cannulation in critically ill patients: guidelines of the Polish Society of Anaesthesiology and Intensive Therapy. Anaesthesiol Intensive Ther 2026; 58: 84-105. DOI: 10.5114/ait/220388.
3.
Garcia-Leal M, Guzman-Lopez S, Verdines-Perez AM, de Leon-Gutierrez H, Fernandez-Rodarte BA, Alvarez-Villalobos NA, et al. Trendelenburg position for internal jugular vein catheterization: a systematic review and meta-analysis. J Vasc Access 2023; 24: 338-347. DOI: 10.1177/11297298211031339.
4.
Ford DR, Witting MD, Vora MV, Sommerkamp SK, Euerle BD. No effect of Valsalva maneuver or Trendelenburg angle on axillary vein size. J Emerg Med 2013; 45: 452-457. DOI: 10.1016/j.jemermed.2012.12.020.
5.
Valdueza JM, von Münster T, Hoffman O, Schreiber S, Einhäupl KM. Postural dependency of the cerebral venous outflow. Lancet 2000; 355: 200-201. DOI: 10.1016/s0140-6736(99)04804-7.
6.
Niggemann P, Kuchta J, Grosskurth D, Beyer HK, Krings T, Reinges M. Position dependent changes of the cerebral venous drainage – implications for the imaging of the cervical spine. Cent Eur Neurosurg 2011; 72: 32-37. DOI: 10.1055/s-0030-1253348.
7.
Vailati D, Lamperti M, Subert M, Sommariva A. An ultrasound study of cerebral venous drainage after internal jugular vein catheterization. Crit Care Res Pract 2012; 2012: 685481. DOI: 10.1155/2012/685481.
8.
Akbik F, Shi Y, Philips S, Pimentel-Farias C, Grossberg JA, Howard BM, et al. Jugular venous catheterization is not associated with increased complications in patients with aneurysmal subarachnoid hemorrhage. Neurocrit Care 2025; 42: 929–936. DOI: 10.1007/s12028-024-02173-1.
9.
Woda RP, Miner ME, McCandless C, McSweeney TD. The effect of right internal jugular vein cannulation on intracranial pressure. J Neurosurg Anesthesiol 1996; 8: 286-292. DOI: 10.1097/00008506-199610000-00005.
10.
Wu C, Zhang M, Gu W, Wang C, Zheng X, Zhang J, et al. Daily point-of-care ultrasound-assessment of central venous catheter-related thrombosis in critically ill patients: a prospective multicenter study. Intensive Care Med 2023; 49: 401-410. DOI: 10.1007/s00134-023-07006-x.
11.
Lister RB, Welfare OWD, Cheri T, Park MAJ. ‘Stop sign’ position for subclavian ultrasound: a single-blinded observational study of subclavian vein dimensions. Eur J Emerg Med 2020; 27: 351-356. DOI: 10.1097/MEJ.0000000000000676.
| eISSN: | 1731-2531 |
| ISSN: | 1642-5758 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
