Optimal Angle of Needle Entry for Internal Jugular Vein Catheterization with a Neutral Head Position: A CT Study

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dc.contributor.authorOzbek, Seda
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorErol, Cengiz
dc.contributor.authorKivrak, Ali Sami
dc.contributor.authorKara, Inci
dc.contributor.authorUysal, Emine
dc.contributor.authorKoplay, Mustafa
dc.date.accessioned2020-03-26T18:42:47Z
dc.date.available2020-03-26T18:42:47Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: The aim of this study is to determine the optimal angle of needle entry in the sagittal plane for internal jugular vein (IJV) catheterization with the central approach while the head is in the neutral position. Methods: The contrast-enhanced carotid artery computed tomography angiographies of 123 consecutive patients were retrospectively reviewed. The point of merger between the sternal and clavicular heads of the sternocleidomastoid muscle was assumed as a clinical entry (CE) point. The angle between CE point and the center of the IJV, the depth, diameter of the vessels and the degree of overlap between the IJV and carotid artery (CA) were measured. Results: The angles between the CE point and the center of the IJVs were similar, 7 degrees +/- 13 degrees medial and 8 degrees +/- 12 degrees medial on the right and the left side, respectively. The center of IJVs from the CE point was between 0 degrees and 16 degrees toward the medial in 79.8% on the right side and 89.9% on the left side of patients. The diameters of the right IJVs were greater than the left IJVs (p = 0.001). The depth from the skin and overlap between IJV and CA did not vary between the two sides. Conclusions: When a central approach is used for right internal jugular vein (RIJV) cannulation with a neutral head position, the orientation of the angle of needle entry (i.e., 16 degrees) medially in the sagittal plane may quadruple the success rate of RIJV catheterization compared to the success rate of a laterally oriented angle of entry as recommended by the classic method.en_US
dc.identifier.doi10.3109/0886022X.2013.774672en_US
dc.identifier.endpage496en_US
dc.identifier.issn0886-022Xen_US
dc.identifier.issue4en_US
dc.identifier.pmid23477452en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage492en_US
dc.identifier.urihttps://dx.doi.org/10.3109/0886022X.2013.774672
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29706
dc.identifier.volume35en_US
dc.identifier.wosWOS:000317661200012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherINFORMA HEALTHCAREen_US
dc.relation.ispartofRENAL FAILUREen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectjugular veinen_US
dc.subjectcatheterizationen_US
dc.subjectcomputerized tomography (CT)en_US
dc.subjectneutral position entry angleen_US
dc.titleOptimal Angle of Needle Entry for Internal Jugular Vein Catheterization with a Neutral Head Position: A CT Studyen_US
dc.typeArticleen_US

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