RESUMEN

We tested whether positive end-expiratory pressure (PEEP) increases right internal jugular vein (RIJV) cross-sectional area (CSA) in 45 ASA physical status I and II adults. All patients received a standardized IV fluid bolus, induction of general anesthesia, tracheal intubation, and mechanical ventilation. We evaluated the CSA of the RIJV using ultrasound without PEEP (control) and with PEEP (10 cm H(2)O) in the supine, level position. Addition of PEEP increased RIJV CSA 0.42 + or - 0.41 cm(2) (mean + or - SD, median 0.34 cm(2), P < 0.001), which represented a 41% mean increase in CSA.

Asunto(s)

Anestesia General , Venas Yugulares/anatomía & histología , Respiración con Presión Positiva , Adolescente , Adulto , Anciano , Femenino , Humanos , Intubación Intratraqueal , Venas Yugulares/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Posición Supina/fisiología , Ultrasonografía , Adulto Joven