Central Venous Pressure
Conditions
Keywords
CVP, US, Trendelenburg position, Ultrasound, Head Down Tilt
Brief summary
The Trendelenburg position is used to distend the central veins, improving both success and safety of vascular cannulation. The purpose of this study is to measure the cross-sectional area of the internal jugular vein (IJV) in three different positions, using surface ultrasound.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* adult medical or surgical ICU patients who have preexisting central venous (jugular/subclavian only) catheters.
Exclusion criteria
* subjects with only a femoral venous catheter. * subjects whose CVP measurement by the indwelling catheter exceeds 20cm of water. * subjects younger than 18 years old. * inability to obtain informed consent from the subject or the subjects authorized representative.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of trendelenburg and reverse trendelenburg position on the cross sectional area of the internal jugular vein | At time of data collection: physiologic study | There will be substantial anatomic variation in venous size. Further, Trendelenburg positioning will have little impact on venous cross-sectional area in most subjects when compared with supine. |
Countries
United States