%0 Journal Article %A BAGHERI, MH %A KAMALIPOUR, H %A JAVDANI, M %T EF FECTS OF THE VALSALVA MANEUVER AND HEAD ROTATION ON INTERNAL JUGULAR VEIN DIAMETER AND LOCATION BY ULTRASONOGRAPHY %J Medical Journal of the Islamic Republic Of Iran %V 15 %N 4 %U http://mjiri.iums.ac.ir/article-1-780-en.html %R %D 2002 %K Valsalva\'s maneuver; Jugular vein, internal; Catheterization, central venous; Head movements, %X In order to determine the effect of Valsalva maneuver and head rotation on the internal jugular vein (IJV) diameter and cross-sectional area and overlap with the carotid artery (CA) and find the best technique for safe cannulation of the IJV and decrease the risk of CA puncture, the diameter of both the IJV and the CA and percentage of overlap between the two vessels and cross-sectional area of the IJV were measured by ultrasonography on the right side of the neck in the supine, head down position, at three different degrees of head rotation with and without the Valsalva maneuver in 30 subjects. The results were analyzed by two-way repeated- measures analysis of variance followed by least significant difference (LSD). Head rotation increased the overlap between the two vessels (p0.05). We therefore advocate the neutral head position with Valsalva's maneuver as a safe and reliable method for IJV cannulation. %> http://mjiri.iums.ac.ir/article-1-780-en.pdf %P 183-187 %& 183 %! Effect of Valsalva Maneuver on IJV Diameter %9 Original Research %L A-10-298-235 %+ Department of Anesthesiology, Faghihi Hospital, Zip code 71344, Shiraz,I.R.Iran %G eng %@ 1016-1430 %[ 2002