Potential role of jugular vein echographic assessment for central venous pressure estimation

Abstract Background Assessment of the central venous pressure (CVP) is an essential hemodynamic parameter for monitoring the dialyzing patients. Our objective of the present study is to investigate the accuracy of CVP measurement by internal jugular vein US in comparison to the direct measurement by the central venous catheters for hemodialysis patients. We included 106 patients; where their CVP was assessed in two different non invasive US methods (CVPni) separately and in combination and the obtained measurements were correlated to the invasive measurements (CVPi) by catheters. Results By method 1, there is a highly significant positive correlation between CVPni and CVPi (ρ < 0.001) and a Pearson correlation coefficient (r = 0.913 n = 93), and by method 2, there is also a highly significant positive correlation between the CVPni and CVPi in both groups (r = 0.832, 95%, n = 106, p < 0.001), 1.935 was the cut-off point for prediction of CVP ≥ 10cmH20. For differentiation between patients with CVP < 10cmH20 and ≥ 10cmH20, the accuracy measures (sensitivity, specificity, PPV, NPV, and overall accuracy) were 100%, 79.31%, 74.47%, 100%, and 87.10% by method 1, and were 91.11%, 85.48%, 82.00%, 92.98%, and 87.85% by method 2, while the combination of both methods had gained 88.57%, 89.66%, 83.78%, 92.86%, and 89.25%, respectively. Conclusion The US offered a reliable and non-invasive tool for monitoring CVP. The present study has a novelty of combining more than one US method and this had reported higher accuracy measures and outperformed the use of a single method.

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Measurement of Internal Jugular Vein and Common Carotid Artery Diameter Ratio by Ultrasound to Estimate Central Venous Pressure

Cureus ◽

10.7759/cureus.2277 ◽

2018 ◽

Cited By ~ 2

Author(s):

Sheher Bano ◽

Aayesha Qadeer ◽

Aftab Akhtar ◽

Muhammad Attaur-Rehman ◽

Kamran Munawar ◽

...

Keyword(s):

Carotid Artery ◽

Central Venous Pressure ◽

Internal Jugular Vein ◽

Common Carotid Artery ◽

Jugular Vein ◽

Venous Pressure ◽

Diameter Ratio ◽

Central Venous

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Central Venous Pressure Estimation by Ultrasound Measurement of Inferior Vena Cava and Aorta Diameters in Pediatric Critical Patients

Pediatric Critical Care Medicine ◽

10.1097/pcc.0000000000002526 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Federico Mercolini ◽

Valentina Di Leo ◽

Giulia Bordin ◽

Roberto Melotti ◽

Francesca Sperotto ◽

...

Keyword(s):

Inferior Vena Cava ◽

Central Venous Pressure ◽

Inferior Vena ◽

Venous Pressure ◽

Vena Cava ◽

Ultrasound Measurement ◽

Central Venous ◽

Pressure Estimation ◽

Critical Patients

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The role of clinical examination, chest X-ray and central venous pressure in volume assessment in critically ill patients: a comparison with PiCCO-derived data

Critical Care ◽

10.1186/cc5443 ◽

2007 ◽

Vol 11 (Suppl 2) ◽

pp. P283 ◽

Cited By ~ 1

Author(s):

W Huber ◽

S Ringmaier ◽

A Umgelter ◽

K Holzapfel ◽

W Reindl ◽

...

Keyword(s):

Central Venous Pressure ◽

Critically Ill ◽

Critically Ill Patients ◽

Venous Pressure ◽

Central Venous ◽

X Ray ◽

Volume Assessment ◽

Chest X Ray ◽

Derived Data

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Vertebral Arteriovenous Fistula Following Insertion of an Internal Jugular Vein Central Venous Pressure Monitoring Catheter

Annals of Saudi Medicine ◽

10.5144/0256-4947.1982.109 ◽

1982 ◽

Vol 2 (2) ◽

pp. 109-111

Author(s):

Zohair Y. Al-Halees ◽

Mohammed K. Mardini ◽

Kenneth Mattox

Keyword(s):

Central Venous Pressure ◽

Arteriovenous Fistula ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Pressure ◽

Pressure Monitoring ◽

Central Venous ◽

Central Venous Pressure Monitoring ◽

Vertebral Arteriovenous Fistula

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Hepatic venous compliance and role of liver as a blood reservoir

American Journal of Physiology-Legacy Content ◽

10.1152/ajplegacy.1976.231.2.292 ◽

1976 ◽

Vol 231 (2) ◽

pp. 292-295 ◽

Cited By ~ 45

Author(s):

WW Lautt ◽

CV Greenway

Keyword(s):

Central Venous Pressure ◽

Blood Volume ◽

Venous Pressure ◽

Significant Proportion ◽

Central Venous ◽

Venous Compliance ◽

Rapid Changes ◽

Capacitance Vessels ◽

Blood Reservoir

Changes in hepatic blood volume in response to rapid elevations in hepatic venous pressure were examined in cats using hepatic plethysmography. The liver was intact and received blood from an intact portal vein and hepatic artery. The hepatic blood volume increased in response to elevated venous pressure. Compliance of the hepatic capacitance vessels became greater as the distending venous pressure was increased over the range of venous pressures studied (0-9.4 mmHg). When hepatic venous pressure was elevated to 9.4 MMHg, the hepatic blood volume more than doubled. The liver serves as an important buffer for rapid changes in blood volume, the importance increasing with greater infused volumes of fluid. While overall venous compliance decreased at distending pressures in excess of 5-6 mmHg, the compliance of the hepatic capacitance vessels shows marked increases at pressures above this level. Expansions of the blood volume results in elevations of central venous pressure. Within a few minutes the hepatic capacitance vessels sequester a significant proportion of the added volume. As long as central venous pressure is raised, the liver demonstrates a secondary fluid buffering role by filtering large volumes of fluid across the vascular bed into the peritoneum.

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