Effects of reverse Trendelenburg position and inguinal compression on femoral vein cross‐sectional area in infants and young children

Anaesthesia - Tập 64 Số 4 - Trang 399-402 - 2009
Eun Ha Suk1, D. H. Kim2, Hae Keum Kil3, Tae Dong Kweon4
1Department of Anaesthesiology and Pain Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
2 Assistant Professor, Department of Radiology, Soonchunhyang University College of Medicine, Bucheon, Korea
3Professor
4Assistant Professor, Department of Anaesthesiology and Pain Medicine and Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea

Tóm tắt

SummaryThis study evaluated the effects of the reverse Trendelenburg position and additional inguinal compression on the cross‐sectional area of the femoral vein in paediatric patients. Seventy subjects were allocated to two groups: the infants group and the children group. Cross‐sectional area of the femoral vein was measured just below the inguinal ligament using ultrasound. Three measurements were obtained for each patient: (i) supine, (ii) reverse Trendelenburg position and (iii) reverse Trendelenburg position with inguinal compression. In the infants group, femoral vein cross‐sectional area increased by a mean (SD) of 21.1 (15.2) % in the reverse Trendelenburg position and by 60.7 (30.8) % in the reverse Trendelenburg position with inguinal compression; whereas in the children group, femoral vein cross‐sectional area increased by 24.7 (15.8) % in the reverse Trendelenburg position and by 100.3 (50.7) % in the reverse Trendelenburg position with inguinal compression. Inguinal compression in the reverse Trendelenburg position offers a useful means of increasing femoral vein cross‐sectional area in paediatric patients.

Từ khóa


Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

Anaesthesia

Tập 64 Số 4

399-402

Thông tin tác giả