Effects of four different positive airway pressures on right internal jugular vein catheterisation

Zhou, Qinghe; Xiao, Wu; An, Erdan; Zhou, Hongmei; Yan, Min

doi:10.1097/eja.0b013e32834f23a3

Cited by 14 publications

(17 citation statements)

References 22 publications

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“…Our finding of increased RIJV diameter during the Valsalva manoeuvre in the three surgical positions investigated is similar to that of other studies. (11,33,40,44) No complications were encountered.…”

Section: Discussionmentioning

confidence: 96%

“…(33) Thus, we used 20 cmH 2 O pressure for 15 minutes in the present study. Our finding of increased RIJV diameter during the Valsalva manoeuvre in the three surgical positions investigated is similar to that of other studies.…”

Section: Discussionmentioning

confidence: 99%

“…(19,23,32) Similarly, although posterior wall perforation can occur on occasion, this happens less frequently with US guidance. (33) The anatomy of the internal jugular vein is variable. (2) It lies anterior and lateral to the carotid artery in 77% of patients, (9) fully lateral to the carotid artery in 2% and fully medial to the carotid artery in 1%.…”

Section: Discussionmentioning

confidence: 99%

“…We used the Trendelenburg position with a 15° head tilt in the present study and observed a significant increase in RIJV diameter. (12,33,36) The Valsalva manoeuvre increases intrathoracic pressure, which then increases the diameter of the internal jugular vein. (11,39,43,45) This manoeuvre, however, is not without risks; it can result in haemodynamic instability and increase the likelihood of complications such as arterial rupture and local haematoma.…”

Section: Discussionmentioning

confidence: 99%

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The effects of the Trendelenburg position and the Valsalva manoeuvre on internal jugular vein diameter and placement in children

Dinçyürek

Moğol

Türker

et al. 2015

smedj

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INTRODUCTIONWe compared the effects of various surgical positions, with and without the Valsalva manoeuvre, on the diameter of the right internal jugular vein (RIJV). METHODSWe recruited 100 American Society of Anesthesiologists physical status class I patients aged 2-12 years. The patients' heart rate, blood pressure, peripheral oxygen saturation and end-tidal CO 2 pressure were monitored. Induction of anaesthesia was done using 1% propofol 10 mg/mL and fentanyl 2 μg/kg, while maintenance was achieved with 2% sevoflurane in a mixture of 50/50 oxygen and air (administered via a laryngeal mask airway). The RIJV diameter was measured using ultrasonography when the patient was in the supine position. Thereafter, it was measured when the patient was in the supine position + Valsalva, followed by the Trendelenburg, Trendelenburg + Valsalva, reverse Trendelenburg, and reverse Trendelenburg + Valsalva positions. A 15° depression or elevation was applied for the Trendelenburg position, and an airway pressure of 20 cmH 2 O was applied in the Valsalva manoeuvre. During ultrasonography, the patient's head was tilted 20° to the left. CONCLUSION In paediatric patients, the application of the Trendelenburg position with the Valsalva manoeuvre gave the greatest increase in RIJV diameter. The reverse Trendelenburg position had no significant effect on RIJV diameter. RESULTS

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The effects of the Trendelenburg position and the Valsalva manoeuvre on internal jugular vein diameter and placement in children

Dinçyürek

Moğol

Türker

et al. 2015

smedj

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“…Different tidal volume (TV) settings during mechanical ventilation alter inspiration-associated decreases in right ventricular stroke volume and intrathoracic blood volume [5], and these changes could alter central venous pressure and the CSA of the RIJV. Furthermore, in an animal study, an increase in TV was found to increase central venous pressure [6], which is closely correlated with the IJV CSA [7]. …”

Section: Introductionmentioning

confidence: 99%

Effects of incrementally increasing tidal volume on the cross-sectional area of the right internal jugular vein

Kim

Lee

et al. 2013

Korean J Anesthesiol

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BackgroundDifferent tidal volume (TV) settings during mechanical ventilation alter intrathoracic blood volume, and these changes could alter central venous pressure and the cross sectional area (CSA) of the right internal jugular vein (RIJV). The aim of this study was to determine the optimal TV for maximizing the CSA of the RIJV in the supine and Trendelenburg positions in anesthetized patients.MethodsForty patients were randomly allocated to a supine group (Group S, n = 20) or a Trendelenburg group (Group T, n = 20) by computer generated randomization. RIJV CSAs were measured repeatedly after increasing the inspiratory volume in 1 ml/kg increments from a TV of 8 ml/kg to 14 ml/kg using ultrasound images.ResultsPeak inspiratory pressure increased significantly on increasing TV from 11 ml/kg to 14 ml/kg and between baseline (TV 8 ml/kg) and 11 ml/kg in both groups (P < 0.05). RIJV CSA was not increased versus baseline even after TV changes in either group and no intergroup difference was found.ConclusionsTV increases do not increase the CSA of the RIJV within the TV range 8 to 14 ml/kg in the supine or 10° Trendelenburg position.

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Cardiovascular Monitoring in Postoperative Care of Adult Cardiac Surgical Patients

Dabbagh

2018

Postoperative Critical Care for Adult Cardiac Surgical Patients

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Effects of four different positive airway pressures on right internal jugular vein catheterisation

Cited by 14 publications

References 22 publications

The effects of the Trendelenburg position and the Valsalva manoeuvre on internal jugular vein diameter and placement in children

The effects of the Trendelenburg position and the Valsalva manoeuvre on internal jugular vein diameter and placement in children

Effects of incrementally increasing tidal volume on the cross-sectional area of the right internal jugular vein

Cardiovascular Monitoring in Postoperative Care of Adult Cardiac Surgical Patients

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