Effects of two different head positions (neutral position, and 45° rotation) on procedural time and complication rates during ultrasound guided internal jugular venous catheterization Ultrasonografi Eşliǧinde Vena Jugularis Interna Kateterizasyonunda Iki Farkli Baş Pozisyonunun (Nötral Pozisyon, 45° Rotasyon) Işlem Süresine ve Komplikasyonlara Etkisi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.22, sa.2, ss.45-49, 2016 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 2
- Basım Tarihi: 2016
- Doi Numarası: 10.5222/gkdad.2016.045
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.45-49
- Anahtar Kelimeler: Internal jugular vein catheterization, Position of head, Ultrasound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Internal jugular vein is preferred for central venous catheterization because of lower infection and complication rates and ultrasound-guidance increases success rates. In this study we evaluated the effect of internal jugular vein displacement in relation to carotid artery depending on the two different head positions(neutral position vs. 45° rotation) on procedural time and complication rates. Material and Methods: Patients were randomly assigned into two groups where catheterization was performed at 45° contralateral head rotation group or neutral head position group. Access times and complications were recorded. Results: Position of the internal jugular vein in relation to carotid artery was significantly different between two groups (p<0.05). While internal jugular vein was laterally positioned in relation to carotid artery in neutral group, while 45° head rotation increased the risk of anterior displacement. There was no significant difference between two groups for venous diameter, depth of vein, number of attempts and procedural time (p>0.05). Discussion and Conclusion: In IJV catheterization, head rotation may enhance the visibility of anatomical landmarks, but it it may also increase the risk of carotid artery puncture by replacing the position of the IJV in relation to the CA. In our study, it has been shown that anterior placement of the IJV in the neutral position is less frequently seen, but this has no advantage in avoiding arterial puncture. Smaller area of procedure in a neutral position can cause difficulties in practice. However, the procedural times between each head position were not different. Nevertheless, further studies are needed which will investigate whether comparable complication rates and procedural times can be realized in both emergency and trauma patients in whom head rotation cannot be performed.