| Monitoring of Continuous Central Venous Pressure through the Percutaneous Internal Jugular Vein Catheterization . |
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Pil Kon Kim, Kang Hee Cho |
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Department of Anesthesiology, Capital Armed Forces General Hospital, Seoul, Korea. |
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| Abstract |
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With the remarkable progress of modern medicine, many monitoring systems and technics have been designed and applied clinically, but the monitoring of the central venous pressure is the most simple, convenient and dependable method to, monitor for a cert patients diagnosis and treatment among the varieties of the monitoring systems.
There is need for a convenient and dependable method for estimating fluid volume requirement under diverse circumstances. An adequate circulation depends upon three factors: a. the pumping action of the heart b. the volume of blood being pumped c. the capacity of the vascular system and its resistance. Therefore central venous pressure (C.V.P.) is one of the guides for the adequate circulation.
C.V.P. monitoring is indicated in: a. Suspected blood volume deficit: major trauma, severe burns, or penetrating wounds of major body cavity. b. Hypotensive patient c. During and after the open heart surgery or major neurosurgery d. When shock origin is obscure, for diagnostic and therapeutic reasons e. Pulmonary edema and acute heart failure f.
Instruction of young physicians in the physiology of the shock. The technic of internal jugular vein cannulation using one of the needle catbeters and its complications are described. |
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