Trendelenburg Position, Simulated Valsalva Maneuver, and Liver Compression Do Not Alter the Size of the Right Internal Jugular Vein in Patients with a Bidirectional Glenn Shunt

2007 ◽  
Vol 105 (2) ◽  
pp. 365-368 ◽  
Author(s):  
Koichi Yuki ◽  
Kelly Chilson ◽  
Kirsten C. Odegard ◽  
James A. DiNardo
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Valsalva Maneuver ◽  
Trendelenburg Position ◽  
Glenn Shunt ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Shunt ◽  
The Right

Successful surgical repair of Uhl's anomaly

2002 ◽  
Vol 12 (2) ◽  
pp. 192-195 ◽  
Author(s):  
Nawal Azhari ◽  
Mervat Assaqqat ◽  
Ziad Bulbul
Keyword(s):  
Right Ventricle ◽  
Surgical Repair ◽  
Total Cavopulmonary Connection ◽  
Thromboembolic Stroke ◽  
Glenn Shunt ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Shunt ◽  
Patch Closure ◽  
The Right ◽  
Cavopulmonary Connection

We report a case of Uhl's anomaly in a 5-month-old cyanotic infant who presented with thromboembolic stroke and acute hemiparesis. The patient underwent successfully an initial surgical repair, which included exclusion of the right ventricle by patch closure of the tricuspid valve, atrial septectomy and construction of a bidirectional Glenn shunt. This was followed by successful construction of a total cavopulmonary connection.

Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis

2021 ◽  
pp. 112972982110313
Author(s):  
Mariana Garcia-Leal ◽  
Santos Guzman-Lopez ◽  
Adrian Manuel Verdines-Perez ◽  
Humberto de Leon-Gutierrez ◽  
Bernardo Alfonso Fernandez-Rodarte ◽  
...  
Keyword(s):  
Systematic Review ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Meta Analysis ◽  
Trendelenburg Position ◽  
Cross Sectional ◽  
Cross Section Area ◽  
Section Area ◽  
Internal Jugular Vein Catheterization ◽  
The Right

To determine the effect of Trendelenburg position on the diameter or cross-section area of the internal jugular vein (IJV) a systematic review and metanalysis was performed. Studies that evaluated the cross-sectional area (CSA) and anteroposterior (AP) diameter of the right internal jugular vein (RIJV) with ultrasonography in supine and any degree of head-down tilt (Trendelenburg position) were analyzed. A total of 22 articles (613 study subjects) were included. A >5° Trendelenburg position statistically increases RIJV CSA and AP diameter. Further inclination from 10° does not statistically benefit IJV size. This position should be recommended for CVC placement, when patient conditions allow it, and US-guided cannulation is not available.

Comparison of the effect of the right lateral tilt position and Trendelenburg position on the right internal jugular vein in healthy volunteers: A prospective observational study

2019 ◽  
Vol 20 (6) ◽  
pp. 672-676
Author(s):  
Mehmet S Uluer ◽  
Mehmet Sargin ◽  
Betül Başaran
Keyword(s):  
Internal Jugular Vein ◽  
Prospective Observational Study ◽  
Jugular Vein ◽  
Cross Sectional Area ◽  
Transverse Diameter ◽  
Sectional Area ◽  
Trendelenburg Position ◽  
Cross Sectional ◽  
Lateral Tilt ◽  
The Right

Background: Central venous cannulation is an invasive procedure commonly used by many physicians. The aim of this study was to evaluate the effects of the right lateral tilt position on the cross-sectional area and size of the right internal jugular vein, and the relationship between the right internal jugular vein and the carotid artery. Method: Forty healthy volunteers aged over 18 years were included in this prospective, observational study. The right internal jugular vein cross-sectional area and the anatomic relationship with the carotid artery were assessed using ultrasound imaging. This measurement was repeated for four positions (baseline position, 10° right tilt position, 10° Trendelenburg position, and 10° right tilt + 10° Trendelenburg position). The head was rotated 30° to the contralateral side in all patients. Results: The mean (standard deviation) right internal jugular vein cross-sectional area, transverse diameter, and anteroposterior diameter were significantly increased with the Trendelenburg position and 10° right tilt + 10° Trendelenburg position (p < 0.05). There were no significant differences in right internal jugular vein cross-sectional area, transverse diameter, and anteroposterior diameter between the baseline position and 10° right tilt position (p > 0.05). Conclusion: We found that the right lateral tilt position had no effect on the internal jugular vein cross-sectional area and that the Trendelenburg position was still the most valid position for safely increasing the right internal jugular vein cross-sectional area.

scholarly journals Ultrasound evaluation of techniques for internal jugular vein puncture in children

2008 ◽  
Vol 23 (5) ◽  
pp. 469-472 ◽  
Author(s):  
Sérgio Tomaz Schettini ◽  
Luiz Fernando Ybarra Martins de Oliveira ◽  
Harold Ruiz Henao ◽  
Henrique Manoel Lederman
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Neutral Position ◽  
Ultrasound Images ◽  
Healthy Children ◽  
Variation Analysis ◽  
Trendelenburg Position ◽  
Transversal Section ◽  
Ultrasound Evaluation ◽  
The Right

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.

scholarly journals No enlargement of the right internal jugular vein of the dialysis patients in the Trendelenburg position

2013 ◽  
Vol 76 (7) ◽  
pp. 401-406 ◽  
Author(s):  
Hsin-Lun Wu ◽  
Chien-Kun Ting ◽  
Chih-Yang Chen ◽  
Hung-Wei Cheng ◽  
Kwok-Hon Chan ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Dialysis Patients ◽  
Trendelenburg Position ◽  
The Right

The Effects of Trendelenburg Position and Valsalva Maneuver on the Cross-sectional Area of the Internal Jugular Vein

1991 ◽  
Vol 75 (3) ◽  
pp. A423-A423
Author(s):  
E. W. van de Griendt ◽  
I. Muhiudeen ◽  
L. Cassorla ◽  
S. Adler ◽  
M. K. Cahalan
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Valsalva Maneuver ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Trendelenburg Position ◽  
Cross Sectional ◽  
The Cross
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