Ultrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patients

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dc.contributor.authorNayman, Alaaddin
dc.contributor.authorOnal, Ibrahim Ozkan
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorOzbek, Seda
dc.contributor.authorSaltali, Ali Ozgul
dc.contributor.authorCelik, Jale Bengi
dc.contributor.authorTemizoz, Osman
dc.date.accessioned2020-03-26T19:07:50Z
dc.date.available2020-03-26T19:07:50Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground and aim: Trendelenburg positioning (TP) is a common approach used during internal jugular vein (IJV) cannulation. No evidence indicates that TP significantly increases the cross-sectional area (CSA) of the IJV or decreases the overlap between the carotid artery (CA) and the IJV in dialysis patients. The primary aim of this study was to investigate the effects of the TP on the CSA of the right IJV and on its relationship to the CA. Methods: Thirty-seven consecutive hemodialysis patients older than 18 years of age were enrolled. We measured the CSA of the right IJV and overlap rate (at end-expiration at the level of the cricoid cartilage) between the CA and the IJV in two positions: State 0, table flat (no tilt), with the patient in the supine position; State T, in which the operating table was tilted to 15 degrees of TP. Results: Data were collected for all of the 37 patients enrolled in the study. The change in CSA and overlap between the CA and the IJV from the supine to the TP was not significantly different. The CSA was paradoxically decreased in 11 of 37 patients when changed from State 0 to State T. Conclusions: TP does not significantly increase the CSA of the right IJV or decrease the overlap between the CA and the IJV in dialysis patients. In fact, in some patients, it reduces the CSA. Therefore, the use of the TP for IJV cannulation in dialysis patients can no longer be supported.en_US
dc.identifier.doi10.3109/0886022X.2015.1073052en_US
dc.identifier.endpage1284en_US
dc.identifier.issn0886-022Xen_US
dc.identifier.issn1525-6049en_US
dc.identifier.issue8en_US
dc.identifier.pmid26287770en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1280en_US
dc.identifier.urihttps://dx.doi.org/10.3109/0886022X.2015.1073052
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32722
dc.identifier.volume37en_US
dc.identifier.wosWOS:000369808400006en_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/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectChronicen_US
dc.subjectdialysisen_US
dc.subjectjugular veinen_US
dc.subjectTrendelenburg positionen_US
dc.subjectultrasonographyen_US
dc.titleUltrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patientsen_US
dc.typeArticleen_US

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