Ultrasound evaluations of internal jugular vein punction techniques in children: the easiest method to reach the target area

Ultrasound evaluations of internal jugular vein punction techniques in children: the easiest method to reach the target area

Author Ybarra, Luiz Fernando Autor UNIFESP Google Scholar
Ruiz, H. Autor UNIFESP Google Scholar
Silva, M. P. Autor UNIFESP Google Scholar
Lederman, H. M. Autor UNIFESP Google Scholar
Schettini, S. T. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract The objective of this study is to determine the best way to access and the position in which the patients must remain in order to obtain the best transversal section of the right internal jugular vein (RIJV) section during the catheterization by ultrasound, allowing a safer and precise access. the three possible ways to access the RIJV, anterior, lateral and posterior, from 57 healthy children, were examined by ultrasound in one similar sequence of positions: horizontal dorsal decubitus with the head centered in neutral position with and without the use of a pillow; horizontal dorsal decubitus with contralateral rotation of the head with and without the use of a pillow; horizontal dorsal decubitus with the head centered in neutral position and the patient in the Trendelenburg position without the use of a pillow. the relation between the different positions and punction regions in RIJV were established using analysis of variance. As a result, the lateral punction with the patient in the Trendelemburg position offered a largest area of the RIJV transversal section in comparison to all the other options (P < 0.0001). in conclusion, this study demonstrated that the safer and precise way for the RIJV catheterization in pediatric patients is obtained in Trendelenburg position with lateral access and without a pillow.
Keywords Internal jugular vein
Punction
Ultrasound
Pediatric
Catheterization
Language English
Date 2009-01-01
Published in Pediatric Surgery International. New York: Springer, v. 25, n. 1, p. 99-104, 2009.
ISSN 0179-0358 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 99-104
Origin http://dx.doi.org/10.1007/s00383-008-2298-2
Access rights Closed access
Type Article
Web of Science ID WOS:000261692300016
URI http://repositorio.unifesp.br/handle/11600/31153

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account