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

dc.contributor.authorYbarra, Luiz Fernando [UNIFESP]
dc.contributor.authorRuiz, H. [UNIFESP]
dc.contributor.authorSilva, M. P. [UNIFESP]
dc.contributor.authorLederman, H. M. [UNIFESP]
dc.contributor.authorSchettini, S. T. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:52:03Z
dc.date.available2016-01-24T13:52:03Z
dc.date.issued2009-01-01
dc.description.abstractThe 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Surg, Div Pediat Surg, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Diagnost Imaging, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Surg, Div Pediat Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Diagnost Imaging, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent99-104
dc.identifierhttp://dx.doi.org/10.1007/s00383-008-2298-2
dc.identifier.citationPediatric Surgery International. New York: Springer, v. 25, n. 1, p. 99-104, 2009.
dc.identifier.doi10.1007/s00383-008-2298-2
dc.identifier.issn0179-0358
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/31153
dc.identifier.wosWOS:000261692300016
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofPediatric Surgery International
dc.rightsAcesso restrito
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.subjectInternal jugular veinen
dc.subjectPunctionen
dc.subjectUltrasounden
dc.subjectPediatricen
dc.subjectCatheterizationen
dc.titleUltrasound evaluations of internal jugular vein punction techniques in children: the easiest method to reach the target areaen
dc.typeArtigo
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