Comparison of the effect of the Trendelenburg and passive leg raising positions on internal jugular vein size in critically ill patients

dc.contributor.authorGok, Funda
dc.contributor.authorSarkilar, Gamze
dc.contributor.authorKilicaslan, Alper
dc.contributor.authorYosunkaya, Alper
dc.contributor.authorUzun, Sema Tuncer
dc.date.accessioned2024-02-23T14:45:59Z
dc.date.available2024-02-23T14:45:59Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractCentral vein catheterization is a common procedure performed on patients under intensive care. The safe and successful placement of the central venous catheter depends on vein size. Although used for this purpose, the Trendelenburg position can be hazardous in some patients. The aim of this study was to compare the effects of the Trendelenburg and passive leg raising (PLR) positions on the size of the right internal jugular vein (IJV) in mechanically ventilated patients under intensive care. Seventy-eight mechanically ventilated patients under intensive care were included into the study. Sonographic images of the right IJV were recorded in supine (control), 10 degrees Trendelenburg and 40 degrees PLR positions. Anterior-posterior and transverse diameter, cross-sectional area (CSA), and depth were calculated from the recorded images. The size of the right IJV (CSA, transverse and vertical diameters) was significantly larger in the Trendelenburg and PLR positions than in supine position. An increase of 26% in the IJV CSA was obtained in the Trendelenburg position and 23% in the PLR position, compared to the supine position. There was no significant difference between the measurements obtained from the Trendelenburg and PLR positions. The study shows that the Trendelenburg and PLR positions increase the size of the IJV to a similar extent in mechanically ventilated patients under intensive care.en_US
dc.identifier.endpage19043en_US
dc.identifier.issn1940-5901
dc.identifier.issue10en_US
dc.identifier.pmid26770530en_US
dc.identifier.scopus2-s2.0-84949648050en_US
dc.identifier.startpage19037en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17738
dc.identifier.volume8en_US
dc.identifier.wosWOS:000367669800238en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_US
dc.relation.ispartofInternational Journal Of Clinical And Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInternal Jugular Vein Sizeen_US
dc.subjectTrendelenburg Positionen_US
dc.subjectPassive Leg Raising Positionen_US
dc.subjectUltrasonographyen_US
dc.subjectCritically Ill Patienten_US
dc.titleComparison of the effect of the Trendelenburg and passive leg raising positions on internal jugular vein size in critically ill patientsen_US
dc.typeArticleen_US

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