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Central venous pressure (CVP) is the blood pressure in the venae cavae, near the right atrium of the heart. CVP reflects the amount of blood returning to the heart and the ability of the heart to pump the blood back into the arterial system.
Central lines are used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein, obtain blood tests (specifically the "central venous oxygen saturation"), administer fluid or blood products for large volume resuscitation, and measure central venous pressure.
The doctor can then ask the patient to relax while the back of the examination table is raised to a 30-45˚ angle. From this position, the jugular venous pressure (JVP) can be estimated. Because the right internal jugular vein flows directly into the superior vena cava and then the right atrium, it is a good estimate of central venous pressure.
The balloon, when inflated, causes the catheter to "wedge" in a small pulmonary blood vessel. So wedged, the catheter can provide an indirect measurement of the pressure in the left atrium of the heart, showing a mean pressure, in addition to a, x, v, and y waves which have implications for status of the left atria and the mitral valve.
Such situations include, but are not limited to, the need for long-term venous access (for weeks or months, not days), [1] administering of medications that can damage smaller veins (e.g. chemotherapy), measuring central venous pressure, obtaining certain blood tests (specifically central venous oxygen saturation), or performing dialysis.
A peripherally inserted central catheter (PICC or PICC line), also called a percutaneous indwelling central catheter or longline, [1] is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g ...
The Seldinger technique, also known as Seldinger wire technique, is a medical procedure to obtain safe access to blood vessels and other hollow organs. It is named after Sven Ivar Seldinger (1921–1998), a Swedish radiologist who introduced the procedure in 1953.
Venous pressure is the vascular pressure in a vein or in the atria of the heart. It is much lower than arterial pressure, with common values of 5 mmHg in the right atrium and 8 mmHg in the left atrium. Variants of venous pressure include: Central venous pressure, which is a good approximation of right atrial pressure, [37] which is a major ...