Citations 1
Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis
García-Leal, Mariana , Verdines-Perez, Adrian Manuel, León-Gutiérrez, Humberto de , Fernandez‐Rodarte, Bernardo Alfonso , Álvarez‐Villalobos, Neri Alejandro , Martínez‐Garza, Javier Humberto , Quiroga‐Garza, Alejandro , de Leon-Gutierrez, Humberto, Alvarez-Villalobos, Neri Alejandro, Quiroga-Garza, Alejandro , Álvarez-Villalobos, Neri A , Guzman-Lopez, Santos , Elizondo-Omana, Rodrigo Enrique
The Journal of Vascular Access | July 13, 2021 | Volume: 24 | Issue: 2 | Pages: 338-347
To determine the effect of Trendelenburg position on the diameter or cross-section area of the internal jugular vein (IJV) a systematic review and metanalysis was performed. Studies that evaluated the cross-sectional area (CSA) and anteroposterior (AP) diameter of the right internal jugular vein (RIJV) with ultrasonography in supine and any degree of head-down tilt (Trendelenburg position) were analyzed. A total of 22 articles (613 study subjects) were included. A >5° Trendelenburg position statistically increases RIJV CSA and AP diameter. Further inclination from 10° does not statistically benefit IJV size. This position should be recommended for CVC placement, when patient conditions allow it, and US-guided cannulation is not available.