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Effects of head rotation on the right internal jugular vein in infants and young children
Author(s) -
Gwak M. J.,
Park J. Y.,
Suk E. H.,
Kim D. H.
Publication year - 2010
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2009.06209.x
Subject(s) - medicine , internal jugular vein , internal carotid artery , jugular vein , anatomy , internal rotation , carotid arteries , vein , rotation (mathematics) , cardiology , surgery , geometry , mechanical engineering , engineering , mathematics
Summary We investigated the effects of head rotation on the cross‐sectional area of the right internal jugular vein and its relative position to the carotid artery. Eighty‐eight subjects were divided into infants and children groups. The cross‐sectional area of the right internal jugular vein and the degree of the carotid artery overlap were measured at 0° (neutral), 40° and 80° of head rotation. The cross‐sectional area of the right internal jugular vein was significantly larger at 40° and 80° head rotation compared with the neutral position in both infants and children (p < 0.001). As the head was rotated, the percentage overlap of the carotid artery increased significantly (p < 0.001). We suggest that 40° head rotation appears to be optimal for right internal jugular vein cannulation in paediatric patients.