ArticleActa medica Lituanic2018
Is the Trendelenburg position the only way to better visualize internal jugular veins?
Article in Acta medica Lituanic, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 8 citations in OpenAlex.
- Effects of liquid resuscitation guided by internal jugular vein variability during deep inhalation on preventing propofol-induced hypotension in elderly patients.BMC anesthesiology · 2025Trial
- Breath-holding could improve visualization of the internal jugular veins by ultrasound guidance in obese patients with trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Venous access devices (Review).Medicine internationalReview
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA larger cross-sectional area (CSA) of the internal jugular vein (IJV) makes catheterization easier and the Trendelenburg position is used to achieve this. Unfortunately, it is not comfortable for conscious patients. The aim was to evaluate the impact of alternative manoeuvres on the enlargement of the CSA of the IJV and to compare these manoeuvres with the Trendelenburg position. MATERIALS AND
methodsA prospective study of 63 healthy volunteers was conducted. Two-dimensional ultrasound images of right IJV (RIJV) and left IJV (LIJV) were recorded at the level of the cricoid cartilage in the supine position with and without head rotation by 30 degrees during various manoeuvres.
resultsThe CSA of the RIJV and the LIJV significantly increased using hold of deep breath (mean size (cm
conclusionsHold of deep breath and 45-degree passive leg raise (the latter limited for the right side only) are alternative manoeuvres to improve visualization of internal jugular veins for conscious patients. Hold of deep breath was as effective as the Trendelenburg position.
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