The Rational Clinical Examination
David L. Simel, Drummond Rennie
Abnormal Central Venous Pressure
Deborah J. Cook, David L. Simel
Examining patients with indwelling central venous catheters provides the clinician with an...
Topics Discussed:
central venous pressure, measurement of, central venous pressure-biological function
Excerpt:
"Examining patients with indwelling central venous catheters provides
the clinician with an opportunity for calibrating and periodically
testing clinical skills for evaluating CVP. Of course, the examination
should be performed blind to the catheter reading. If the examination
is also conducted blind to other patient data, interpretation of
waveforms can be compared to electrocardiograms and other data from
cardiac investigations. Learning aids such as pocket cards displaying the
normal jugular pulsations may also be helpful. Assessment of JVP
in patients with tachycardia, irregular cardiac rhythms, and rapid
and deep respirations and those requiring mechanical ventilation
provide a challenge for even seasoned clinicians.22..."
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