Comparison of the Trendelenburg position versus upper-limb tourniquet on internal jugular vein diameter

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dc.authorid0000-0002-5273-1871
dc.contributor.authorKaraaslan, Pelin
dc.contributor.authorVural Gökay, Banu
dc.contributor.authorKarakaya, Muhammet Ahmet
dc.contributor.authorDarçın, Kamil
dc.contributor.authorKarakaya, Afak Durur
dc.contributor.authorÖrmeci, Turgul
dc.contributor.authorKöse, Emine Arzu
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:30Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:30Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description84th IEEE Vehicular Technology Conference, VTC Fall 2016 -- 18 September 2016 through 21 September 2016 -- 126901
dc.description.abstractBACKGROUND: Central venous cannulation is a necessary invasive procedure for fluid management, haemodynamic monitoring and vasoactive drug therapy. The right internal jugular vein (RIJV) is the preferred site. Enlargement of the jugular vein area facilitates catheterization and reduces complication rates. Common methods to enlarge the RIJV cross-sectional area are the Trendelenburg position and the Valsalva maneuver. OBJECTIVE: Compare the Trendelenburg position with upper-extremity venous return blockage using the tourniquet technique. DESIGN: Prospective clinical study. SETTING: University hospital. SUBJECTS AND METHODS: Healthy adult volunteers (American Society of Anesthesiologists class I) aged 18-45 years were included in the study. The first measurement was made when the volunteers were in the supine position. The RIJV diameter and cross-sectional area were measured from the apex of the triangle formed by the clavicle and the two ends of the sternocleidomastoid muscle, which is used for the conventional approach. The second measurement was performed in a 20° Trendelenburg position. After the drainage of the veins using an Esbach bandage both arms were cuffed. The third measurement was made when tourniquets were inflated. MAIN OUTCOME MEASURE(S): Hemodynamic measurements and RIJV dimensions. RESULTS: In 65 volunteers the diameter and cross-sectional area of the RIJV were significantly widened in both Trendelenburg and tourniquet measurements compared with the supine position (P<.001 for both measures). Measurements using the upper extremity tourniquet were significantly larger than Trendelenburg measurements (P=.002 and <.001 for cross-sectional area and diameter, respectively). CONCLUSION: Channelling of the upper-extremity venous return to the jugular vein was significantly superior when compared with the Trendelenburg position and the supine position. LIMITATIONS: No catheterization and study limited to healthy volunteers.
dc.identifier.citationKaraaslan, P., Vural Gökay, B., Karakaya, M. A., Darçın, K., Karakaya, A., Örmeci, T. ... Köse, E. A. (2017). Comparison of the Trendelenburg position versus upper-limb tourniquet on internal jugular vein diameter. Annals of Saudi Medicine, 37(4), 308-312. https://dx.doi.org/10.5144/0256-4947.2017.308
dc.identifier.doi10.5144/0256-4947.2017.308
dc.identifier.endpage312
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage308
dc.identifier.urihttps://hdl.handle.net/20.500.12511/813
dc.identifier.urihttps://dx.doi.org/10.5144/0256-4947.2017.308
dc.identifier.volume37
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKing Faisal Specialist Hospital and Research Centre
dc.relation.ispartofAnnals of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTrendelenburg
dc.subjectTourniquet
dc.subjectJugular Vein Diameter
dc.titleComparison of the Trendelenburg position versus upper-limb tourniquet on internal jugular vein diameter
dc.typeArticle

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