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Effects of reverse Trendelenburg position and inguinal compression on femoral vein cross-sectional area in infants and young children

Authors
 E. H. Suk  ;  D. H. Kim  ;  H. K. Kil  ;  T. D. Kweon 
Citation
 ANAESTHESIA, Vol.64(4) : 399-402, 2009 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2009
MeSH
Catheterization, Central Venous/methods ; Child ; Child, Preschool ; Constriction ; Female ; Femoral Vein/anatomy & histology* ; Femoral Vein/diagnostic imaging ; Femoral Vein/physiology ; Head-Down Tilt/physiology* ; Humans ; Infant ; Inguinal Canal/physiology* ; Male ; Supine Position/physiology ; Ultrasonography
Abstract
This study evaluated the effects of the reverse Trendelenburg position and additional inguinal compression on the cross-sectional area of the femoral vein in paediatric patients. Seventy subjects were allocated to two groups: the infants group and the children group. Cross-sectional area of the femoral vein was measured just below the inguinal ligament using ultrasound. Three measurements were obtained for each patient: (i) supine, (ii) reverse Trendelenburg position and (iii) reverse Trendelenburg position with inguinal compression. In the infants group, femoral vein cross-sectional area increased by a mean (SD) of 21.1 (15.2) % in the reverse Trendelenburg position and by 60.7 (30.8) % in the reverse Trendelenburg position with inguinal compression; whereas in the children group, femoral vein cross-sectional area increased by 24.7 (15.8) % in the reverse Trendelenburg position and by 100.3 (50.7) % in the reverse Trendelenburg position with inguinal compression. Inguinal compression in the reverse Trendelenburg position offers a useful means of increasing femoral vein cross-sectional area in paediatric patients.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2008.05815.x/abstract
DOI
10.1111/j.1365-2044.2008.05815.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
Kil, Hae Keum(길혜금)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103680
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