None listed
Conditions
Brief summary
We are planning to compare two cannulation sides for internal jugular vein in terms of antero-posterior and lateral diameters and area in 58 healthy neonates weighed between 3000-3500 grams. The measurements will be made from two access points for internal jugular vein catheterization (superior and inferior) in 3 different Trendelenburg positions (horizontal, 15 and 30 degrees) and in different degrees of head rotation (zero, 15 and 30 degrees to the left) for each Trendelenburg positioning. The measurements will be performed by using ultrasound by the same anesthesiologist.
Interventions
We are planning to compare two cannulation sides for internal jugular vein in terms of antero-posterior and lateral diameters and area in 100 healthy neonates weighed between 3000-3500 grams. The first (superior) measurement point will be the apex of Sedillot's Triangle (Clavicula-Sternal and clavicular heads of the sternocloidomastoid muscle). The second (inferior) measurement point will be midpoint of supraclavicular notch. For each trendelenburg degree, six measurements (including the first and second measurement points) will be made in different head rotation degrees of zero (neutral position), 15 degrees and 30 degrees to the left side. The measurements will be performed primarily in horizontal position and then in 15 degrees and 30 degrees Trendelenburg position with ultrasound by the same anesthesiologist. The data will be recorded as follows: IJV area (N): Superior/ Inferior IJV AP(antero-posterior) diameter (N): Superior/ Inferior IJV laterar diameter (N): Superior/ Inferior Carotis-IJV distance (N): Superior/ Inferior N reffers to as head in neutral position IJV area (15): Superior/ Inferior IJV AP(antero-posterior) diameter (15): Superior/ Inferior IJV laterar diameter (15): Superior/ Inferior Carotis-IJV distance (15): Superior/ Inferior 15 reffers to as head in rotation 15 degrees to the left-side IJV area (30): Superior/ Inferior IJV AP(antero-posterior) diameter (30): Superior/ Inferior IJV laterar diameter (30): Superior/ Inferior Carotis-IJV distance (30): Superior/ Inferior 30 reffers to as head in rotation 30 degrees to the left-side It will take 1 minute (max.) to get data from each point and 1 minute (max.) to give the appropriate planned position. At the end of one neonates observation, eighteen data will be collected. It will last about 20 minutes to get the results from each patient.The interventional study will last approximately 1 week.
Sponsors
Study design
Eligibility
Inclusion criteria
Newborn infants between 3000-3500 grams of weight
Exclusion criteria
Weighed less than 3000 grams Weighed more than 3500 grams Mass or puffiness in the neck area Need for mechanical ventlation