Simple taping using Transpore tape of the skin over the internal jugular vein insertion point increased IJV cross sectional area and AP diameter, and shortened to time to successful cannulation in this RCT on 28 infants and neonates undergoing cardiac surgery. Also, the degree of IJV collapse during advancement of the needle was less in the taped group.
The skin over the right IJV (RIJV) was lifted up with several pieces of tape in the cephalad and caudad directions. The skin cephalic to the RIJV was stretched cephalad, whereas the skin caudal to the RIJV was stretched caudad. The other ends of the tape were attached to the metal edge of the operating table.
A Novel Skin-Traction Method Is Effective for Real-Time Ultrasound-Guided Internal Jugular Vein Catheterization in Infants and Neonates Weighing Less Than 5 Kilograms
Anesth Analg. 2009 Sep;109(3):754-9