We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Effect of Trendelenburg position on right and left internal jugular vein cross-sectional area.
- Authors
Jeong Gil Lee; Hee Bin Park; Hye Young Shin; Ju Deok Kim; Soo Bong Yu; Doo Sik Kim; Sie Jeong Ryu; Gyeong Han Kim
- Abstract
Background: Unlike the right internal jugular vein (RIJV), there is a paucity of data regarding the effect of the Trendelenburg position on the left internal jugular vein (LIJV). The purpose of this study is to investigate the cross-sectional area (CSA) of the LIJV and RIJV and their response to the Trendelenburg position using two-dimensional ultrasound in adult subjects. Methods: This study enrolled fifty-eight patients with American Society of Anesthesiologists physical status class I-II who were undergoing general anesthesia. CSAs of both the RIJV and LIJV were measured with a two-dimensional ultrasound in the supine position and then in a 10o Trendelenburg position. Results: In the supine position, the transverse diameter, anteroposterior diameter, and CSA of the RIJV were significantly larger than those of the LIJV (P < 0.001). Of 58 patients, the RIJV CSA was larger than the LIJV CSA in 43 patients (74.1%), and the LIJV CSA was larger than the RIJV CSA in 15 patients (25.9%). In the Trendelenburg position, CSAs of the RIJV and LIJV increased 39.4 and 25.5%, respectively, compared with the supine position. However, RIJV changed at a rate that was significantly greater than that of the LIJV (P < 0.05). Of 58 patients, the RIJV CSA was larger than the LIJV CSA in 48 patients (82.8%), and the LIJV CSA was larger than the RIJV CSA in 10 patients (17.2%). Conclusions: In supine position, the RIJV CSA was larger than the LIJV CSA. The increased CSA in the Trendelenburg position was greater in the RIJV than the LIJV
- Subjects
JUGULAR vein; CROSS-sectional method; AMERICAN Society of Anesthesiologists; GENERAL anesthesia; SUPINE position; CENTRAL venous catheters; CATHETERIZATION
- Publication
Korean Journal of Anesthesiology, 2014, Vol 67, Issue 5, p305
- ISSN
2005-6419
- Publication type
Article
- DOI
10.4097/kjae.2014.67.5.305