The Influence of Arm Positioning on Ultrasonic Visualization of the Subclavian Vein
| Autor: | Sadek, Meriem, Roger, Claire, Bastide, Sophie, Jeannes, Pascal, Solecki, Kamila, de Jong, Audrey, Buzançais, Gautier, Elotmani, Loubna, Ripart, Jacques, Lefrant, Jean Yves, Bobbia, Xavier, Muller, Laurent |
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| Přispěvatelé: | Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Caractéristiques féminines des dysfonctions des interfaces cardio-vasculaires (EA 2992), Université Montpellier 1 (UM1)-Université de Montpellier (UM), BESPIM, Université de Montpellier (UM) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Anesthesia and Analgesia Anesthesia and Analgesia, Lippincott, Williams & Wilkins, 2016, 123 (1), pp.129-132. ⟨10.1213/ANE.0000000000001327⟩ |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/ANE.0000000000001327⟩ |
| Popis: | International audience; We hypothesized that placing the arm in 90° abduction, through 90° flexion and 90° external rotation, could improve ultrasound visualization of the subclavian vein. In 49 healthy volunteers, a single operator performed a view of the subclavian vein in neutral position and abduction position. A second blinded operator measured the cross-sectional area of the subclavian vein. Abduction position increased the cross-sectional area of the subclavian vein from 124 ± 46 (mean ± SD) to 162 ± 58 mm (P = 0.001). An increase of the cross-sectional area of ≥50% was observed in 41% volunteers (95% confidence interval, 27%-56%, n = 20); this technique offers an alternative approach (maybe safer) for ultrasound-guided catheterization of the subclavian vein. |
| Databáze: | OpenAIRE |
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