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Garcia-Leal M, Guzman-Lopez S, Verdines-Perez AM, de Leon-Gutierrez H, Fernandez-Rodarte BA, Alvarez-Villalobos NA, Martinez-Garza JH, Quiroga-Garza A, Elizondo-Omaña RE. Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis. J Vasc Access 2023; 24:338-347. [PMID: 34254560 DOI: 10.1177/11297298211031339] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
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.
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Affiliation(s)
- Mariana Garcia-Leal
- School of Medicine, Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit México), Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Santos Guzman-Lopez
- Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | | | - Humberto de Leon-Gutierrez
- School of Medicine, Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit México), Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | | | - Neri Alejandro Alvarez-Villalobos
- School of Medicine, Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit México), Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
- Instituto Mexicano del Seguro Social, Delegación de Nuevo Leon, Monterrey, Mexico
| | | | - Alejandro Quiroga-Garza
- Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
- Instituto Mexicano del Seguro Social, Delegación de Nuevo Leon, Monterrey, Mexico
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Chauvin A, Bossuyt P, Le Conte P. Clinical ultrasound not centered on patients has questionable value. Eur J Emerg Med 2022; 29:103-104. [PMID: 34483250 DOI: 10.1097/mej.0000000000000876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Anthony Chauvin
- Emergency Department and PreHospital EMS, Lariboisière's hospital, Assistance Publique Hôpitaux de Paris, Paris University
- Inserm U942 MASCOT, Université de Paris, Paris, France
| | - Patrick Bossuyt
- Department of Epidemiology and Data Science, Amsterdam Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
| | - Philippe Le Conte
- Emergency Department, University Hospital
- Medicine Faculty, University of Nantes, Nantes, France
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