The Effect of the Trendelenburg Position and Passive Leg Elevation on Internal Jugular Vein Catheterization in the Intensive Care Unit

Completed

• Conditions: Critically ill patients in intensive care requiring catheterization.; Anaesthesiology - Other anaesthesiology

• Registration Number: ACTRN12614000237684
• Lead Sponsor: ecmettin Erbakan University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-03-05
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

Intensive care patients who were intubated and mechanically ventilated were enrolled in the study. Patients requiring catheterization, with BMI <30 kg/m2 and blood pressure >90/60 mmHg, who were hemodynamically stable.We enrolled patients, ARDS, postoperative
respiratory failure, neuromuscular disease, pneumonia,
cerebrovascular accident, metabolic disease,
organophosphorus poisoning and catheterization
was performed for the purpose of intravenous fluids,
total parenteral nutrition
and hemodynamic monitoring.

Exclusion Criteria

Patients requiring immediate catheterization, with BMI >30 kg/m2 and blood pressure <90/60 mmHg, who were hemodynamically instable, receiving vasoactive medications, who had coronary artery disease, gastric reflux, elevated intracranial pressure, previous catheterization at the same site that would make the intervention difficult for venous cannulation, pacemaker, skeletal deformity, and untreated coagulopathy (INR >2, APTT >1.5x higher, platelet count <50,000/mm3).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
After giving the position for the intervention, the chronometer was started. To determine the extent of the increase in internal jugular vein (IJV) size(Anterior-posterior and transfer diameter, cross sectional area (CSA) and depth ) in the patients who received the Trendelenburg position, passive leg elevation, or both for is assessed via USG. IJV size were calculated by the same anesthesiologist from the recorded internal jugular vein images. CSA was calculated by the planimeter method. <br>For depth measurement, the distance from the skin surface to the anterior wall of IJV was measured.[Primary timepoint was assessed immediately after internal jugular vein catheterization.]

Secondary Outcome Measures

Name	Time	Method
To investigate the effect of this increase in IJV size on the success of the first attempt at catheterization.The success of the first attempt at was assessed as observation by the the medical team performing the internal jugular vein catheterization..<br>[Secondary timepoint was assessed immediately after internal jugular vein catheterization];To investigate the effect of this increase in IJV size on mechanical complications such as arterial puncture, hematoma, pneumothorax...etc. Mechanical complications ( arterial puncture, hematoma.) was assessed by observation by the the medical team performing the internal jugular vein catheterization. Pneumothorax was assessed by chest X-ray in suspicious patients after internal jugular vein catheterization.<br>[Mechanical complications (arterial puncture, hematoma.) was assessed immediately after internal jugular vein catheterization.Pneumothorax was assessed by chest X-ray in suspicious patients within 1 hours after internal jugular vein catheterization]