Influences of whistle behavior on the cross-sectional area of the internal jugular vein and catheterization time
10.3760/cma.j.issn.1674-2907.2016.12.034
- VernacularTitle:吹哨动作对颈内静脉穿刺置管患者颈内静脉横截面积及置管时间的影响
- Author:
Yanfang WANG
1
;
Minfei AN
;
Qiusheng REN
Author Information
1. 315040 浙江省宁波大学医学院附属鄞州人民医院ICU
- Keywords:
Catheterization,central venous;
Anatomy,cross-section;
Internal jugular vein;
Whistle behavior;
Catheterization time
- From:
Chinese Journal of Modern Nursing
2016;22(12):1757-1759,1760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influences of whistle behavior on the cross-sectional area of the internal jugular vein and catheterization .Methods The study investigated 90 patients who had internal jugular vein catheterization in ICU or the Operating Room of Yinzhou People′s Hospital of Ningbo University Medical College from July 2014 to August 2015 .The participants were divided into whistle group ( B group ) , Valsalva group (V group), and the control group (C group) using random number table , with 30 participants in each group .All the participants did calm breathing , whistle , and Valsalva behavior in turn .Meanwhile , the images of internal jugular vein cross-section on the right sternocleidomastoid triangle apex level were captured and measured , and the catheterization time of internal jugular vein were recorded under ultrasound guidance . Results The cross-sectional area of the internal jugular vein were (101 ±28), (185 ±46), (196 ±59)mm2 when patients had calm breathing , whistling, and Valsalva behavior (F=5.716,P<0.05), but the differences of whistling and Valsalva behavior had no statistical significance (P >0.05).The catheterization time of internal jugular vein for B, V, C group were (123 ±26), (137 ±31), and (174 ±46)s (F=3.618,P<0.05).The differences had statistical significance for B and V group compared with C group (P<0.05), but had no differences between B and V group (P>0.05).Conclusions The whistle and Valsalva behavior had similar effects on the dilatation of internal jugular vein and the reduction of catheterization time .
