Sajna, S (2021) Comparison of Effect of Different Levels of Positive End Expiratory Pressure (PEEP) on Right Internal Jugular Vein Diameter and IJV - Carotid Artery Relationship: A Prospective Randomised Control study. Masters thesis, Kanyakumari Government Medical College Hospital, Asaripallam.
Full text not available from this repository.Abstract
The demographic data like age, gender, weight and height were similar between the four groups. The baseline ultrasound parameters of IJV and CCA before application of PEEP in all four groups were comparable. After application of corresponding PEEP in all four groups, AP diameter, Transverse diameter and CSA of IJV showed a significant increase and showed a decrease in % carotid overlap when compared to the baseline values before application of PEEP. AP diameter showed a 3.05% increase in P5, 10.88% in P10 and 21.6% in P15 when compared to control group P0. Increase in transverse diameter was 1.99%, 5.76% and 10.84% in group P5, P10 and P15 respectively from the control group while the increase in CSA was 4.63%, 17.22% and 35.27% in group P5, P10 and P15. Study showed a significant decrease in the percentage overlap of carotid artery by IJV by 5.58% with application of PEEP 5, 15.34% with PEEP 10 and 19.10% with PEEP 15cmH2O. Patient vitals – Systolic blood pressure(SBP), Diastolic blood pressure (DBP),Heart rate (HR) and oxygen saturation (SpO2) were comparable between four groups. None of the patients in the four study groups showed a decrease in blood pressure by 20% (hypotension) or bradycardia during application of PEEP. CONCLUSION: On the basis of our results, we can suggest that application of PEEP in addition to Trendelenburg position can cause a significant increase in cross-sectional area of IJV along with a significant decrease in overlap of the carotid artery by Internal jugular vein, that can increase the ease of IJV cannulation with a decreased incidence of trans jugular carotid artery puncture.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 201820603 |
| Uncontrolled Keywords: | Positive End Expiratory Pressure (PEEP), Right Internal Jugular Vein Diameter, IJV - Carotid Artery Relationship, Prospective Randomised Control study. |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Subramani R |
| Date Deposited: | 18 May 2021 16:41 |
| Last Modified: | 30 Oct 2021 12:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/17076 |
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