Optimal head rotation and puncture site for internal jugular vein cannulation after laryngeal mask airway insertion
Singapore medical journal
;
: 472-478, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-337173
ABSTRACT
<p><b>INTRODUCTION</b>We studied the effect of head rotation on the relative position of the right common carotid artery (CCA) and the right internal jugular vein (IJV) in patients with laryngeal mask airway (LMA) insertion to evaluate the accuracy of anatomical landmarks for right IJV cannulation.</p><p><b>METHODS</b>We simulated needle insertion to the right IJV on sonograms via the central landmark approach and an approach using the external jugular vein, in patients with LMA insertion (n = 50) or endotracheal intubation (E-tube, n = 50). Overlap index and successful simulation rates were measured according to the different degrees of head rotation.</p><p><b>RESULTS</b>The overlap index between the right CCA and the right IJV increased with greater degrees of head rotation. It was significantly greater in the LMA insertion group than in the E-tube group in the following head rotation positions neutral, 15° and 45°. The success rate of the simulation was lower in the LMA insertion group than in the E-tube group. In the LMA insertion group, the success rate of the simulation was highest (62%) with the central landmark approach and in the 15° head rotation position.</p><p><b>CONCLUSION</b>In the LMA insertion group, the overlap index increased incrementally with greater head rotation degrees (from neutral to 45°). The central landmark approach and 15° head rotation position appear to be the optimal puncture site and degree of head rotation for right IJV cannulation in patients with LMA insertion.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fisiologia
/
Rotação
/
Simulação por Computador
/
Cateterismo Venoso Central
/
Diagnóstico por Imagem
/
Punções
/
Estudos Prospectivos
/
Ultrassonografia
/
Máscaras Laríngeas
/
Artéria Carótida Primitiva
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Singapore medical journal
Ano de publicação:
2015
Tipo de documento:
Artigo
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