Estimation of central venous pressure by examination of jugular veins

Davison, Richard; Cannon, Richard O.

doi:10.1016/0002-8703(74)90064-7

Cited by 69 publications

(31 citation statements)

References 6 publications

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“…The noninvasive estimation of CVP by physical examination has been described by Sir Thomas Lewis, and refined by a lot of investigators. 6,11,15,16 However, because this method is difficult to master and lack of accuracy, it has not been widely used all along. In recent years, some investigators tried to improve the accuracy of this noninvasive method by identifying the collapse point using ultrasound, but the improvement was limited for their significant bias after comparing with the invasive measurement.…”

Section: Discussionmentioning

confidence: 99%

New Method for Noninvasive Quantification of Central Venous Pressure by Ultrasound

Xing

Liu

Zhao

et al. 2015

Circ: Cardiovascular Imaging

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Background— The central venous pressure (CVP) is essential for assessing the cardiac preload and circulating blood volume in clinic. The invasive CVP measurement by central venous catheter has been reported with various complications. The aim of this study was to develop a new noninvasive method for quantification of CVP by ultrasound. Methods and Results— Seventy-six patients who had their CVP monitored for intraoperative or postoperative management were recruited. By accurate location of the collapse point of the internal jugular vein and the center of the right atrium using ultrasound imaging, the height of the fluid column between those 2 points was measured as the noninvasive CVP (CVPn). A total of 118 measurements were performed and compared with the invasive CVP (CVPi). Linear correlation analysis revealed a significant correlation between CVPi and CVPn (preoperative measurements, r =0.90; P <0.01 and postoperative measurements, r =0.93; P <0.01). Bland–Altman plots showed a good agreement between CVPi and CVPn with the mean difference of 0.22 mm Hg (preoperative measurements) and −0.09 mm Hg (postoperative measurements), respectively. Conclusions— The new noninvasive CVP quantification method based on the location of both the collapse point of internal jugular vein and the center of right atrium by ultrasound could be used as a reliable approach for monitoring the hemodynamic status in clinic.

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Section: Discussionmentioning

confidence: 99%

New Method for Noninvasive Quantification of Central Venous Pressure by Ultrasound

Xing

Liu

Zhao

et al. 2015

Circ: Cardiovascular Imaging

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“…In previous studies [3][4][5][6] of jugular vein examinations, categorization among low, normal, and high CVP groups varied. We chose the cutoff points of 5 cm of water or lower and 10 cm of water or higher to allow comparison with previous work evaluating the IJV examination.…”

Section: Commentmentioning

confidence: 99%

Usefulness of the External Jugular Vein Examination in Detecting Abnormal Central Venous Pressure in Critically Ill Patients

Vinayak¹,

Levitt²,

Gehlbach³

et al. 2006

Arch Intern Med

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“…The simplicity of initiating aggressive fluid resuscitation is often tempered, however, by the difficulty in confidently determining a state of hypovolemia exists. Traditional methods of volume assessment such as jugular venous pressure, measurement of central venous pressure (CVP), or use of the PAC have each been scrutinized for their lack of accuracy in critically ill patients [13-15]. Conversely, it has long been known that echocardiographic assessment of the inferior vena cava (IVC) offers a compelling and accurate window in to the right sided filling pressures and overall volume status of the sick [16,17].…”

Section: The Hypotensive Patientmentioning

confidence: 99%

Point of Care Cardiac Ultrasound Applications in the Emergency Department and Intensive Care Unit - A Review

Arntfield

Millington²

2012

CCR

132

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The use of point of care echocardiography by non-cardiologist in acute care settings such as the emergency department (ED) or the intensive care unit (ICU) is very common. Unlike diagnostic echocardiography, the scope of such point of care exams is often restricted to address the clinical questions raised by the patient’s differential diagnosis or chief complaint in order to inform immediate management decisions. In this article, an overview of the most common applications of this focused echocardiography in the ED and ICU is provided. This includes but is not limited to the evaluation of patients experiencing hypotension, cardiac arrest, cardiac trauma, chest pain and patients after cardiac surgery.

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Estimation of central venous pressure by examination of jugular veins

Cited by 69 publications

References 6 publications

New Method for Noninvasive Quantification of Central Venous Pressure by Ultrasound

New Method for Noninvasive Quantification of Central Venous Pressure by Ultrasound

Usefulness of the External Jugular Vein Examination in Detecting Abnormal Central Venous Pressure in Critically Ill Patients

Point of Care Cardiac Ultrasound Applications in the Emergency Department and Intensive Care Unit - A Review

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