Relationship between the Right Internal Jugular Vein and Carotid Artery at Ipsilateral Head Rotation

dc.contributor.authorOzbek, Seda
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorKivrak, Ali Sami
dc.contributor.authorKara, Inci
dc.contributor.authorSaltali, Ali Ozgul
dc.date.accessioned2020-03-26T18:43:09Z
dc.date.available2020-03-26T18:43:09Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractUltrasound-guided right internal jugular vein catheterization (RIJV) should be the first choice to decrease the catheter-related complications in high-risk hemodialysis patients. For this procedure, clinicians should identify the optimum positions of the RIJV, including its lower overlap with the carotid artery (CA) and high cross-sectional area of the vein. The aim of this prospective randomized study to evaluate the effects of mild ipsilateral head rotation combined with Trendelenburg position on RIJV cross-sectional area and its relation to the CA in adult patients. Forty ASA I-II patients who were undergoing elective surgery were enrolled for this study. The subjects were asked to remain supine in the 15-20 degrees Trendelenburg position. Two-dimensional ultrasound was then used to measure the degree of overlap between the RIJV and CA, the cross-sectional area of the RIJV. These measurements were compared between head rotation to the >30 degrees left, <30 degrees left, neutral, and <30 degrees right positions. When the head was in the >30 degrees left position, overlap was seen in 38 of 40 patients (95%). As the head was rotated from >30 degrees left to <30 degrees right, the CA-RIJV overlap (from 95% to 57.5%), and the cross-sectional area (from 14.2 mm to 8.7 mm) significantly decreased. In conclusion, when the head was turned to <30 degrees right, the CA-RIJV overlap significantly decreased, and the cross-sectional area also decreased. When clinicians determine the optimal head position before RIJV cannulation, it is important to consider the advantages and disadvantages of the different head positions from >30 degrees left to <30 degrees right.en_US
dc.identifier.doi10.3109/0886022X.2013.789970en_US
dc.identifier.endpage765en_US
dc.identifier.issn0886-022Xen_US
dc.identifier.issn1525-6049en_US
dc.identifier.issue5en_US
dc.identifier.pmid23650892en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage761en_US
dc.identifier.urihttps://dx.doi.org/10.3109/0886022X.2013.789970
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29778
dc.identifier.volume35en_US
dc.identifier.wosWOS:000318951100029en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS LTDen_US
dc.relation.ispartofRENAL FAILUREen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjecthemodialysisen_US
dc.subjectjugular veinen_US
dc.subjectcatheterizationen_US
dc.subjectcarotid arteryen_US
dc.subjecthead positionen_US
dc.subjectultrasounden_US
dc.subjectipsilateralen_US
dc.titleRelationship between the Right Internal Jugular Vein and Carotid Artery at Ipsilateral Head Rotationen_US
dc.typeArticleen_US

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