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ORIGINAL ARTICLE Effects of four different positive airway pressures on right internal jugular vein catheterisation Qinghe Zhou, Wangpin Xiao, Erdan An, Hongmei Zhou and Min Yan punctures; heart rate and mean arterial pressure which were Context The right internal jugular vein (RIJV) is often used for central venous catheterisation in patients undergoing major monitored continuously; and the incidence of complications surgery. The efficacy of this route correlates with the diameter of which included local haematoma, pneumothorax and internal carotid artery (ICA) puncture. the vein which can be influenced by airway pressure. Objective To investigate four positive airway pressures (PAPs) Results Two patients were excluded following ICA puncture, in mechanically ventilated patients and to determine the most leaving 238 for analysis. In groups C and D, the CVP and the cross-sectional area of RIJV were significantly larger; the number suitable of these for RIJV catheterisation. completing catheterisation within 30 s and the number of first Design Prospective, randomised, controlled study. Setting Two Chinese medical centres. pass punctures increased significantly and was comparable Patients Two hundred and forty patients scheduled for between these two groups. Compared with groups A and B, the incidences of hypotension and bradycardia were significantly gastrointestinal tract
European Journal of Anaesthesiology – Wolters Kluwer Health
Published: May 1, 2012
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