Scopus
YÖKSİS Eşleşti
The effectiveness of trendelenburg positioning on the cross-sectional area of the right internal jugular vein in obese patients
Pakistan Journal of Medical Sciences · Ocak 2015
YÖKSİS Kayıtları
The Effectiveness Of Trendelenburg Positioning On The Cross Sectional Area Of The Right Internal Jugular Vein In Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR İBRAHİM ÖZKAN ÖNAL →
The Effectiveness Of Trendelenburg Positioning On The Cross-Sectional Area Of The Right Internal Jugular Vein In Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI
PROFESÖR JALE BENGİ ÇELİK →
The Effectiveness of Trendelenburg Positioning on The Cross Sectional Area of The Right Internal Jugular Vein in Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
The Effectiveness Of Trendelenburg Positioning On The Cross Sectional Area Of The Right Internal Jugular Vein In Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
The Effectiveness Of Trendelenburg Positioning On The Cross Sectional Area Of The Right Internal Jugular Vein In Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
The Effectiveness of Trendelenburg Positioning on The Cross Sectional Area of The Right Internal Jugular Vein in Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR HÜSEYİN YILMAZ →
The Effectiveness Of Trendelenburg Positioning On The Cross Sectional Area Of The Right Internal Jugular Vein In Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
The Effectiveness of Trendelenburg Positioning on The Cross Sectional Area of The Right Internal Jugular Vein in Obese Patients
Pakistan Journal of Medical Sciences · 2015 SCI-Expanded
PROFESÖR ALAADDİN NAYMAN →
Makale Bilgileri
DergiPakistan Journal of Medical Sciences
Yayın TarihiOcak 2015
Cilt / Sayfa31 · 770-774
Scopus ID2-s2.0-84937874733
Özet
Objective: Trendelenburg positioning is a common approach used during internal jugular vein (IJV) cannulation. No evidence indicates that Trendelenburg positioning significantly increases the crosssectional area (CSA) of the IJV in obese patients. The primary aim of this study was to determine the effectiveness of Trendelenburg positioning on the CSA of the right internal jugular vein assessed with ultrasound measurement in obese patients. Methods: Forty American Society of Anesthesiologists II patients with body mass index ≥30 kg/m<sup>2</sup> undergoing various elective surgeries under general endotracheal anesthesia were enrolled. Ultrasound images of the right IJV were obtained in a transverse orientation at the cricoid level. We measured the CSA of the right IJV two different conditions in a sealed envelope were applied in random order: State 0, table flat (no tilt), with the patients in the supine position, and State T, in which the operating table was tilted 20° to the Trendelenburg position. Results: The change in the CSA of the IJV from the supine to the Trendelenburg position (1.80 cm<sup>2</sup> vs 2.08cm<sup>2</sup>) was not significantly different. The CSA was paradoxically decreased in 10 of 36 patients when the position changed from State 0 to State T. Conclusions: Trendelenburg positioning does not significantly increase the mean CSA of the right IJV in obese patients. In fact, in some patients, this position decreases the CSA. The use of the Trendelenburg position for IJV cannulation in obese patients can no longer be supported.
Yazarlar (6)
1
Ozkan Onal
ORCID: 0000-0002-5574-1901
2
Seza Apiliogullari
3
Alaaddin Nayman
4
Ali Ozgul Saltali
5
Huseyin Yilmaz
6
Jale Çelik
Anahtar Kelimeler
Central venous catheterization
Cross sectional area
Obese patients
Ultrasound
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
9
Atıf
6
Yazar
4
Anahtar Kelime