- 1.The assessment of jugular venous pressure has been badly taught.1
- 2.Central venous pressure is dynamic and changes rapidly in response to changes in blood volume and its distribution. Jugular venous pressure level seen in the emergency department by the registrar may be quite different to what the consultant sees the next morning.
- 3.Even with the best technique, the jugular venous pressure wave form is not visible in about 20% of patients.2This is usually due to the shape of the neck or respiratory movement.
- Measuring jugular venous pressure: do not turn the head!.Am J Med. 2022; 135: P552-P554
- Physical examination of venous pressure: a critical review.Am Heart J. 1998; 136: 10-18
- Comparison of estimates of right atrial pressure by physical examination and echocardiography in patients with congestive heart failure and reasons for discrepancies.Am J Cardiol. 1997; 80: 1615-1618
Conflicts of Interest: None.
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