Is a Neutral Head Position as Effective as Head Rotation During Landmark-Guided Internal Jugular Vein Cannulation? Results of a Randomized Controlled Clinical Trial

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dc.contributor.authorApiliogullari, Burhan
dc.contributor.authorKara, Inci
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorArun, Oguzhan
dc.contributor.authorSaltali, Ali
dc.contributor.authorCelik, Jale Bengi
dc.date.accessioned2020-03-26T18:30:45Z
dc.date.available2020-03-26T18:30:45Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: Central venous access remains a cornerstone procedure for a variety of clinical conditions. Ultrasound studies suggest that rotation of the head increases the magnitude of the overlap of the internal jugular vein with the carotid artery. The authors assessed whether a neutral position of the head during anatomic landmark-guided cannulation of the internal jugular vein (UV) was an attractive alternative to rotating the neck to a >45 degrees head turn. Design: A prospective, randomized, controlled study. Setting: An education and research hospital and a university-affiliated hospital. Participants: Eighty patients requiring central venous catheterization in the right IJV. Interventions: Under general anesthesia, patients were positioned in the Trendelenburg position with extension of the neck. In the rotated group, the head was rotated to the left at >45 degrees. In the neutral group, the head was placed in the neutral position. Right IJV cannulation was performed using the central approach with the needle angled toward the ipsilateral nipple. The primary outcome variable was the cumulative success rate, which was defined as IJV puncture achieved in the first 3 attempts using a finder needle. A p value of <0.05 was considered statistically significant. Measurements and Main Results: Groups were similar in terms of demographic data. The success rates of finder needle passes into the IJV on the first attempt were 87.5% and 37.5% (p < 0.05), and the cumulative success rates on the first 3 attempts were 97.5% and 57.5% in the rotated and neutral groups, respectively (p < 0.05). Carotid artery puncture only occurred in 2 patients in the rotated group. Conclusions: Because of the lower success rate, the neutral head position is not an attractive alternative for IJV catheterization when compared with the rotated head position in a central landmark IJV approach.en_US
dc.identifier.citationApiliogullari, B., Kara, I., Apiliogullari, S., Arun, O., Saltali, A., Celik, J. B., (2012). Is a Neutral Head Position as Effective as Head Rotation During Landmark-Guided Internal Jugular Vein Cannulation? Results of a Randomized Controlled Clinical Trial. Journal of Cardiothoracic and Vascular Anesthesia, 26(6), 985-988. Doi:10.1053/j.jvca.2012.07.005
dc.identifier.doi10.1053/j.jvca.2012.07.005en_US
dc.identifier.endpage988en_US
dc.identifier.issn1053-0770en_US
dc.identifier.issue6en_US
dc.identifier.pmid22995458en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage985en_US
dc.identifier.urihttps://dx.doi.org/10.1053/j.jvca.2012.07.005
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28165
dc.identifier.volume26en_US
dc.identifier.wosWOS:000311006700003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKara, Inci
dc.institutionauthorApiliogullari, Seza
dc.institutionauthorArun, Oguzhan
dc.institutionauthorSaltali, Ali
dc.institutionauthorCelik, Jale Bengi
dc.language.isoenen_US
dc.publisherW B Saunders Co-elsevier Incen_US
dc.relation.ispartofJournal of Cardiothoracic and Vascular Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectCentral venous accessen_US
dc.subjectcommon carotid arteryen_US
dc.subjecthead positionen_US
dc.subjectinternal jugular veinen_US
dc.subjectcomplicationsen_US
dc.titleIs a Neutral Head Position as Effective as Head Rotation During Landmark-Guided Internal Jugular Vein Cannulation? Results of a Randomized Controlled Clinical Trialen_US
dc.typeArticleen_US

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