The effect of the trendelenburg position on the internal jugular vein's cross-sectional area in overweight and obese children

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dc.contributor.authorSekmenli, Tamer
dc.contributor.authorNayman, Alaaddin
dc.contributor.authorOnal, Ozkan
dc.contributor.authorAriYuca, Sevil
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorCiftci, Ilhan
dc.contributor.authorCelik, Jale Bengi
dc.date.accessioned2020-03-26T19:31:40Z
dc.date.available2020-03-26T19:31:40Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The Trendelenburg position is a common technique used during internal jugular vein (IJV) cannulation in pediatric patients. There has been some speculation as to the correlation between Trendelenburg positioning and increases in the cross-sectional area (CSA) of the IJV in obese child patients. In the present study, we use ultrasound (US) measurements to assess and determine the predictivity of Trendelenburg positioning on the CSA of the right IJV in obese child patients. Methods: The researchers of this studyenrolled 30 cases from the American Society of Anesthesiologists (ASA) II of patients under the age of 18 who underwent ultrasonographic examination between December 2013 and March 2015. US images of the right IJV of each patient were obtained in a transverse orientation at the cricoid level. The CSAs of the right IJVs were measured undert wo different conditions applied in a random orderin a sealed envelope: State 0, in which the table was flat (no tilt) and the patient lay in the supine position; and State T, in which the operating table wastilted 20 degrees to the Trendelenburg position. Results: The change in the CSA of the IJV from the supine to the Trendelenburg position (0.99 cm(2) vs 0.96 cm(2)) was not significant. In contrast, the CSA of the right IJV decreased in 14 of the 30 patients (9 of the 14 were female). Conclusions: The Trendelenburg position does not cause the mean CSA of the right IJV in obese child patients to increase; in fact, the position causes the CSA in some patients to decrease. The researchers of this study do not support the use of the Trendelenburg position for IJV cannulation in obese child patients.en_US
dc.identifier.endpage11644en_US
dc.identifier.issn1940-5901en_US
dc.identifier.issue6en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage11639en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/34080
dc.identifier.volume9en_US
dc.identifier.wosWOS:000379157300102en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherE-CENTURY PUBLISHING CORPen_US
dc.relation.ispartofINTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectCross-sectional areaen_US
dc.subjectinternal jugular vein'sen_US
dc.subjecttrendelenburg positionen_US
dc.subjectobese childrenen_US
dc.titleThe effect of the trendelenburg position on the internal jugular vein's cross-sectional area in overweight and obese childrenen_US
dc.typeArticleen_US

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