Ultrasound evaluation of techniques for internal jugular vein puncture in children
PURPOSE: To determine by ultrasound which access and position the child must stay to obtain the best transversal section of the right Internal Jugular Vein (RIJV) allowing a safer puncture. METHODS: Three possible accesses to the RIJV, anterior, lateral and posterior, from 57 healthy children, were analyzed through ultrasound images in a sequence of positions of the head, in supine position, with or without a roll under the scapula: head centered in neutral position with and without a roll (NPP and NP); contra lateral rotation with and without a roll (CLRP and CLR), neutral position and the patient raised in 30° in Trendelenburg position (TDG). To analyze the results it was applied one statistic method, with variation analysis to the same individuals. Basic Procedures: Ultrasound evaluation in each one of the proposed positions. RESULTS: The statistical analysis of the results observed that the lateral puncture with the patient in the neutral position, in Trendelemburg without a roll, offers a bigger area in comparison to all the other options of puncture and positioning of the patient (p<0, 0001). CONCLUSION: The safer way for the puncture of RIJV in children is obtained in neutral position in Trendelemburg by lateral puncture, without a shoulder roll.
Main Authors: | , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2008
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000500014 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0102-86502008000500014 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0102-865020080005000142008-09-03Ultrasound evaluation of techniques for internal jugular vein puncture in childrenSchettini,Sérgio TomazOliveira,Luiz Fernando Ybarra Martins deHenao,Harold RuizLederman,Henrique Manoel Jugular Veins Ultrasonics Child PURPOSE: To determine by ultrasound which access and position the child must stay to obtain the best transversal section of the right Internal Jugular Vein (RIJV) allowing a safer puncture. METHODS: Three possible accesses to the RIJV, anterior, lateral and posterior, from 57 healthy children, were analyzed through ultrasound images in a sequence of positions of the head, in supine position, with or without a roll under the scapula: head centered in neutral position with and without a roll (NPP and NP); contra lateral rotation with and without a roll (CLRP and CLR), neutral position and the patient raised in 30° in Trendelenburg position (TDG). To analyze the results it was applied one statistic method, with variation analysis to the same individuals. Basic Procedures: Ultrasound evaluation in each one of the proposed positions. RESULTS: The statistical analysis of the results observed that the lateral puncture with the patient in the neutral position, in Trendelemburg without a roll, offers a bigger area in comparison to all the other options of puncture and positioning of the patient (p<0, 0001). CONCLUSION: The safer way for the puncture of RIJV in children is obtained in neutral position in Trendelemburg by lateral puncture, without a shoulder roll.info:eu-repo/semantics/openAccessSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira v.23 n.5 20082008-10-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000500014en10.1590/S0102-86502008000500014 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Schettini,Sérgio Tomaz Oliveira,Luiz Fernando Ybarra Martins de Henao,Harold Ruiz Lederman,Henrique Manoel |
spellingShingle |
Schettini,Sérgio Tomaz Oliveira,Luiz Fernando Ybarra Martins de Henao,Harold Ruiz Lederman,Henrique Manoel Ultrasound evaluation of techniques for internal jugular vein puncture in children |
author_facet |
Schettini,Sérgio Tomaz Oliveira,Luiz Fernando Ybarra Martins de Henao,Harold Ruiz Lederman,Henrique Manoel |
author_sort |
Schettini,Sérgio Tomaz |
title |
Ultrasound evaluation of techniques for internal jugular vein puncture in children |
title_short |
Ultrasound evaluation of techniques for internal jugular vein puncture in children |
title_full |
Ultrasound evaluation of techniques for internal jugular vein puncture in children |
title_fullStr |
Ultrasound evaluation of techniques for internal jugular vein puncture in children |
title_full_unstemmed |
Ultrasound evaluation of techniques for internal jugular vein puncture in children |
title_sort |
ultrasound evaluation of techniques for internal jugular vein puncture in children |
description |
PURPOSE: To determine by ultrasound which access and position the child must stay to obtain the best transversal section of the right Internal Jugular Vein (RIJV) allowing a safer puncture. METHODS: Three possible accesses to the RIJV, anterior, lateral and posterior, from 57 healthy children, were analyzed through ultrasound images in a sequence of positions of the head, in supine position, with or without a roll under the scapula: head centered in neutral position with and without a roll (NPP and NP); contra lateral rotation with and without a roll (CLRP and CLR), neutral position and the patient raised in 30° in Trendelenburg position (TDG). To analyze the results it was applied one statistic method, with variation analysis to the same individuals. Basic Procedures: Ultrasound evaluation in each one of the proposed positions. RESULTS: The statistical analysis of the results observed that the lateral puncture with the patient in the neutral position, in Trendelemburg without a roll, offers a bigger area in comparison to all the other options of puncture and positioning of the patient (p<0, 0001). CONCLUSION: The safer way for the puncture of RIJV in children is obtained in neutral position in Trendelemburg by lateral puncture, without a shoulder roll. |
publisher |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publishDate |
2008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000500014 |
work_keys_str_mv |
AT schettinisergiotomaz ultrasoundevaluationoftechniquesforinternaljugularveinpunctureinchildren AT oliveiraluizfernandoybarramartinsde ultrasoundevaluationoftechniquesforinternaljugularveinpunctureinchildren AT henaoharoldruiz ultrasoundevaluationoftechniquesforinternaljugularveinpunctureinchildren AT ledermanhenriquemanoel ultrasoundevaluationoftechniquesforinternaljugularveinpunctureinchildren |
_version_ |
1756400848057925632 |