Het beoordelen van de centraalveneuze druk

Stand van zaken
J.P.M. (Hans) Hamer, P.G. (Els) Pieper en Renée B.A. van den Brink

Estimation of the jugular venous pressure

  • Estimation of jugular venous pressure (JVP) is valuable for the differentiation between dyspnoea of cardiac or pulmonary origin, and for determining the cause of oedema.
  • JVP assessments are useful for evaluation of treatment of right ventricular failure.
  • The correlation between non-invasive JVP and invasive measurement of the central venous pressure (CVP) is remarkably better than previously reported. Correlation between JVP - determined via the external jugular vein - and CVP is excellent when the outcomes are categorised into low, normal and elevated pressure.
  • Optimal measurement configurations include: extended expiration (without Valsalva manoeuvre), and during ventricular diastole. In the literature, these measurement configurations concerning the respiratory cycle and cardiac cycle have not been applied uniformly.
  • To investigate in detail the correlation between JVP and CVP, the methods need to be standardized, and tests performed simultaneously and correctly.

Conflict of interest and financial support: none declared.