1 270

Cited 15 times in

Effect of head rotation on overlap and relative position of internal jugular vein to carotid artery in infants and children: a study of the anatomy using ultrasonography

Authors
 Jeong-Yeon Hong  ;  Bon Nyeo Koo  ;  Won Ok Kim  ;  Eunkyeong Choi  ;  Hae Keum Kil 
Citation
 JOURNAL OF CRITICAL CARE, Vol.25(2) : 360-13, 2010 
Journal Title
 JOURNAL OF CRITICAL CARE 
ISSN
 0883-9441 
Issue Date
2010
MeSH
Carotid Arteries/anatomy & histology* ; Carotid Arteries/diagnostic imaging ; Child ; Child, Preschool ; Head ; Humans ; Infant ; Jugular Veins/anatomy & histology* ; Jugular Veins/diagnostic imaging ; Posture ; Prospective Studies ; Rotation ; Ultrasonography
Keywords
Internal jugular vein ; Carotid artery ; Ultrasonography ; Infant ; Children
Abstract
PURPOSE: The aim of this study was to evaluate the influence of head rotation on the relative anatomy of internal jugular vein (IJV) and carotid artery (CA) in infants and children. MATERIALS AND METHODS: Two hundred pediatric patients (26.5 +/- 23.3 months old) who were undergoing elective surgery were eligible for this consecutive and prospective study. Using 2-dimensional ultrasound, the amount of overlap and the relative position of the 2 vessels were compared between heads in the neutral position and in 90 degrees of rotation. RESULTS: The mean percentage overlap of CA by IJV in the neutral position increased significantly as the head was rotated to the right (23.3% vs 39.2%) and left (35.3% vs 52.8%). The incidence of lateral positioning of IJV to CA decreased significantly when the head was rotated (40% vs 21% in right, 26.5% vs 10.5% in left). The right IJV is associated with less overlap of the CA than the left, regardless of head position. CONCLUSIONS: The head should be kept in as near a neutral position as possible because the overlap increased by head rotation in both sides. In addition, the right IJV should be preferred because of less CA overlap and more lateral positioning than the left.
Full Text
http://www.sciencedirect.com/science/article/pii/S0883944110000055
DOI
10.1016/j.jcrc.2009.12.005
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kil, Hae Keum(길혜금)
Kim, Won Oak(김원옥)
Hong, Jeong Yeon(홍정연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101136
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links