The carina as a landmark in central venous catheter placement†

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The carina as a landmark in central venous catheter placement† M. Schuster, H. Nave, S. Piepenbrock, R. Pabst, B. Panning  British Journal of Anaesthesia  Volume 85, Issue 2, Pages 192-194 (August 2000) DOI: 10.1093/bja/85.2.192 Copyright © 2000 British Journal of Anaesthesia Terms and Conditions

Fig 1 The heart, the great vessels and the pericardial sac. The carina, which is anatomically located dorsally to the view shown, is indicated by dotted lines. The pericardial sac is depicted in black and white around the heart. All numbers are arithmetic mean (sem). (a) The intrapericardial part of the SVC (3.0 (0.2) cm; range 1.0–5.0 cm). (b) The medial side of the SVC where a duplication of the pericardium fortifies the vessel wall (2.4 (0.1) cm; range 1.6–4.0 cm). (c) The longitudinal distance between the carina and the pericardium as it transverses the SVC (0.4 (0.1) cm; range 0.0–2.1 cm). SVC denotes superior vena cava. British Journal of Anaesthesia 2000 85, 192-194DOI: (10.1093/bja/85.2.192) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions