Effects of Different Modes of Ventilation and Head Position on Size of Vena Jugular Interna

NCT01790334 | Completed

• 1 other identifier: 32488
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

It is widely known that positive mechanical ventilation increases the positive intrathoracic pressure which affects the pressure in the RIJV, resulting in an increase of the CSA. Currently, there appears to be a lack of studies in the literature that assess the effects of different modes of ventilation of this increase. The aim of our study is to evaluate the changes in cross-sectional area and diameters of RIJV under two different mechanical ventilation modes (PCV and VCV) and spontaneous ventilation in head neutral and 30 degree rotated lateral position by using ultrasonography and to determine the ventilation mode that is most suitable for catheterization.

Conditions

Central Line Complication

Outcome Measures

Primary Outcomes (1)

• comparing the size of right internal jugular vein in different mechanical ventilation modes

  1 month

Secondary Outcomes (1)

• effect of different head positions on the right internal jugular vein size

  1 month

Study Arms (3)

Spontenous Ventilation (Group S)

ultrasonography of Right internal jugular vein

Other: Ultrasonography

Pressure control Ventilation (Group P)

ultrasonography of Right internal jugular vein

Other: Ultrasonography

Volume control ventilation (Group V)

ultrasonography of Right internal jugular vein

Other: Ultrasonography

Interventions

Ultrasonography OTHER

Also known as: The crosssectional area and diameter of right internal jugular vein will be measured by ultrasonography

Pressure control Ventilation (Group P); Spontenous Ventilation (Group S); Volume control ventilation (Group V)

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

30 ASA status I-II patients between 18-80 years old undergoing elective abdominal surgery under endotracheal intubation will be included in this random, prospective, clinical study.

You may qualify if:

• ASA status I-II patients between 18-80 years old undergoing elective abdominal surgery

You may not qualify if:

• Patients with a history of congestive heart failure, pulmonary hypertension, chronic renal failure, diabetes mellitus, rheumatological diseases, neck surgery, valvular disease, obesity or RIJV catheterization will be excluded from the study

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Cerrahpasa Medical Faculty Anesthesiology and Reanimation Department

Istanbul, Fatih, 34400, Turkey (Türkiye)

Location

Related Publications (1)

• Lobato EB, Florete OG Jr, Paige GB, Morey TE. Cross-sectional area and intravascular pressure of the right internal jugular vein during anesthesia: effects of Trendelenburg position, positive intrathoracic pressure, and hepatic compression. J Clin Anesth. 1998 Feb;10(1):1-5. doi: 10.1016/s0952-8180(97)00189-x.

  PMID: 9526929 RESULT

MeSH Terms

Interventions

High-Energy Shock Waves

Intervention Hierarchy (Ancestors)

Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc.Prof. M.D.

Study Record Dates

• First Submitted: February 11, 2013
• First Posted: February 13, 2013
• Study Start: February 1, 2013
• Primary Completion: March 1, 2013
• Study Completion: March 1, 2013
• Last Updated: August 29, 2013

Record last verified: 2013-02

Locations

TU (1)