Abstract
Point of care ultrasound (POCUS), when performed by an experienced clinician, may be used for many applications in the neck. The focus of this chapter is on selected aspects of the neck. including discussion on anatomy, evaluation of lymph nodes, utility to identify infections and the use of ultrasound for vascular access. The properly trained clinician in point of care ultrasound should be trained in the fundaments, image acquisition, image interpretation, and clinical integration.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Klem C. Head and neck anatomy and ultrasound correlation. Otolaryngol Clin N Am. 2010;43(6):1161–8.
AIUM practice guideline for the performance of ultrasound examinations of the head and neck. J Ultrasound Med. 2014;33(2):366–82.
Troianos CA, Kuwik RJ, Pasqual JR, Lim AJ, Odasso DP. Internal jugular vein and carotid artery anatomic relation as determined by ultrasonography. Anesthesiology. 1996;85(1):43–8.
Gordon AC, Wright I, Pugh ND. Duplication of the superficial femoral vein: recognition with duplex ultrasonography. Clin Radiol. 1996;51(9):622–4.
Sulek CA, Gravenstein N, Blackshear RH, Weiss L. Head rotation during internal jugular vein cannulation and the risk of carotid artery puncture. Anesth Analg. 1996;82(1):125–8.
Lin BS, Kong CW, Tarng DC, Huang TP, Tang GJ. Anatomical variation of the internal jugular vein and its impact on temporary haemodialysis vascular access: an ultrasonographic survey in uremic patients. Nephrol Dial Transplant. 1998;13:134–8.
Gilbert TB, Seneff MG, Becker RB. Facilitation of internal jugular venous cannulation using an audio-guided Doppler ultrasound vascular access device: results from a prospective, dual-center, randomized, crossover clinical study. Crit Care Med. 1995;23(1):60–5.
Ying M, Ahuja A, Brook F, Metreweli C. Power Doppler sonography of normal cervical lymph nodes. J Ultrasound Med. 2000;19:511–7.
Rubaltelli L, Khadivi Y, Tregnaghi A, Stramare R, Ferro F, Borsato S, et al. Evaluation of lymph node perfusion using continuous mode harmonic ultrasonography with a second-generation contrast agent. J Ultrasound Med. 2004;23:829–36.
Soni NJ, Arntfield R, Kory PD. Point of care ultrasound. Philadelphia: Elsevier/Saunders; 2015.
Pandey PK, Umarani M, Kotrashetti S, Baliga S. Evaluation of ultrasonography as a diagnostic tool in maxillofacial space infections. J Oral Maxillofac Res. 2011;2(4):e4.
KDOQI clinical practice guidelines and clinical practice recommendations for 2006 updates: hemodialysis adequacy, peritoneal dialysis adequacy and vascular access. Am J Kidney Dis. 2006;48(suppl 1):S1–S322.
Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med. 1996;24:2053–8.
AIUM practice guideline for the use of ultrasound to guide vascular access procedures. J Ultrasound Med. 2013;32(1):191–215.
Vesely TM. Central venous catheter tip position: a continuing controversy. J Vasc Interv Radiol. 2003;14:527–34.
Hosokawa K, Shime N, Kato Y, Hashimoto S. A randomized trial of ultrasound image-based skin surface marking versus real-time ultrasound-guided internal jugular vein catheterization in infants. Anesthesiology. 2007;107:720–4.
Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care. 2006;10:R162.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
11.1 Electronic Supplementary Material
Transverse view of the right internal jugular vein (IJV ) and carotid artery (CA). Video courtesy of Benji Mathews, MD (MP4 2944 kb)
Longitudinal view of internal jugular vein thrombosis. Video courtesy of Mangala Narasingham, DO (WMV 995 kb)
Transverse view of lymph node. Video courtesy of Benji Mathews, MD (MP4 2940 kb)
Transverse view of lymph node with color Doppler. Inflammatory nodes may be quite large but retain their fatty hilum and associated axial vascularity on Doppler imaging [9]. Increased vascularity may also be seen when color flow Doppler is used. With pathologic lymph nodes, a regional, more comprehensive ultrasound or other advanced imaging is usually required. Moreover, with enlarged lymph nodes, a core-needle biopsy may also be recommended. Video courtesy of Benji Mathews, MD (MP4 2937 kb)
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Mathews, B.K., Dickinson, O. (2018). Neck. In: Nelson, B., Topol, E., Bhagra, A., Mulvagh, S., Narula, J. (eds) Atlas of Handheld Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-319-73855-0_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-73855-0_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-73853-6
Online ISBN: 978-3-319-73855-0
eBook Packages: MedicineMedicine (R0)