Evaluation of JVP

Transcript of the video: Now we will discuss the basic principles of evaluation of jugular venous pressure and jugular venous pulse. These are assessed in the internal jugular vein and not in the external jugular vein. To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. Now, why we should not be looking at external jugual vein, though it is much easier to find out is that, in lower portion, it may be kinked so that it may not reflect the true right atrial pressure. The whole purpose of assessing the jugular venous pressure and pulse is that it reflects the right atrial pressure and hence the filling pressure of the right ventricle. So, if this is obstructed lower down, then there is no point in assessing it. So you have to look carefully at the pulsations of the internal jugular vein which you will be able to find out with some experience. And you know that the pulsations are laterally and view from a side will be better, to assess the wave form of the jugular venous pulse. So that is the importance of assessing internal jugular vein. Jugular venous pressure can be assessed in the sitting position if the venous column is easily visible in the root of the neck. But, if it is not visible, you have to keep the person in the slanting position, usually at 45 degrees.  And, the vertical level above the sternal angle is measured. That is the vertical height of the venous column above the sternal angle. Sternal angle is usually abo...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs