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Relative positions of the right internal jugular vein and the right common carotid artery
  1. Fraser Johnson,
  2. Anthony M-H Ho,
  3. Rene Allard,
  4. Glenio B. Mizubuti
  1. Anesthesiology and Perioperative Medicine, Queen’s University, Kingston, Canada
  1. Correspondence to Glenio B. Mizubuti, Department of Anesthesiology and Perioperative Medicine, Kingston General Hospital, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada; gleniomizubuti{at}

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A dreaded complication of internal jugular vein (IJV) cannulation is common carotid artery (CCA) puncture/cannulation, which has decreased, but not been eliminated, with ultrasound (US) guidance.1 Typically, with the head/neck in midline position, the IJV lies mostly lateral to the CCA.2 When the head is turned to the contralateral side for IJV cannulation, the IJV moves anteriorly and medially such that a considerable percentage of it now …

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  • Contributors FJ, AM-HH, RA and GBM helped prepare the figure, drafted and revised the manuscript, and approved of the final version.

  • Funding Support was provided solely from institutional and/or departmental sources.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.