In this very large trial, >1300 intubated patients were randomized to neutral head position, or 45 degree angle position, during insertion of IJ central venous catheters. All insertions were performed under USG guidance. The head position had no effect on complication rates (major or minor) or mean time to successful access. Head positioning does not affect insertion times or complications rates during IJ central venous access insertion (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.