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Ultrasonographic evaluation of the femoral vein in anaesthetised infants and young children

Authors
 E. H. Suk  ;  K.-Y. Lee  ;  T. D. Kweon  ;  Y.-H. Jang  ;  S. J. Bai 
Citation
 ANAESTHESIA, Vol.65(9) : 895-898, 2010 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2010
MeSH
Aging/pathology ; Anesthesia, General ; Catheterization, Central Venous/methods* ; Child ; Child, Preschool ; Female ; Femoral Artery/anatomy & histology ; Femoral Artery/diagnostic imaging ; Femoral Vein/anatomy & histology ; Femoral Vein/diagnostic imaging* ; Hip Joint/physiology ; Humans ; Infant ; Male ; Posture ; Rotation ; Ultrasonography
Abstract
We investigated the cross-sectional area of the femoral vein and its relationship to the femoral artery at two anatomical levels, in infants and children. Sixty-six subjects were allocated to one of two groups: infants (< 1 year, n = 31) or children (1-6 years, n = 35). After induction of general anaesthesia, the femoral vein was evaluated by ultrasound with the patients' legs at 30° and 60° of abduction and their hips externally rotated. In each position, measurements were taken at the level of the inguinal crease and 1 cm below the crease. Hip rotation with 60° leg abduction decreased femoral artery overlap at the level of the inguinal crease in both infants (p = 0.013) and children (p = 0.003). Thus, the optimal place for femoral vein cannulation in paediatric patients seems to be at the level of the inguinal crease with 60° leg abduction and external hip rotation.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2010.06378.x/abstract
DOI
10.1111/j.1365-2044.2010.06378.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kweon, Tae Dong(권태동) ORCID logo https://orcid.org/0000-0002-5451-1856
Bai, Sun Joon(배선준) ORCID logo https://orcid.org/0000-0001-5027-3232
Lee, Ki Young(이기영) ORCID logo https://orcid.org/0000-0003-4893-3195
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102654
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