Ultrasound accurately reflects the jugular venous examination but underestimates central venous pressure.

Abstract:

BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal jugular venous pressure (JVPINT), and ultrasound collapse pressure (UCP) with CVP measured using an indwelling catheter. We compared the examination of the external and internal JVP with each other and with the UCP and CVP. JVPEXT, JVPINT, UCP, and CVP were compared graphically using Bland-Altman plots, and correlation coefficients were calculated. RESULTS:The correlation coefficients comparing CVP to UCP, JVPEXT, and JVPINT were 0.62, 0.57, and 0.50, respectively. When UCP was compared with JVPEXT and JVPINT, correlation coefficients were 0.91 and 0.81, respectively. Last, the correlation coefficient comparing JVPEXT and JVPINT was 0.98. The Bland-Altman graphical comparison of methods technique revealed that CVP was often underestimated by UCP, and clinical examination of JVPEXT and JVPINT. In contrast, there was no systematic bias between UCP and either JVPEXT or JVPINT, nor between JVPEXT and JVPINT. CONCLUSIONS:Ultrasound examination is capable of measuring accurately the JVP as judged from the internal or external jugular vein. However, like the JVP, ultrasound typically underestimates CVP. A systematic bias between UCP and CVP suggests the presence of a variable degree of venous tone, possibly signaling contraction of jugular venous smooth muscle. TRIAL REGISTRY:ClinicalTrials.gov; No.: NCT01099241; URL: clinicaltrials.gov.

journal_name

Chest

journal_title

Chest

authors

Deol GR,Collett N,Ashby A,Schmidt GA

doi

10.1378/chest.10-1301

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

95-100

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(11)60019-6

journal_volume

139

pub_type

杂志文章,多中心研究,随机对照试验

相关文献

CHEST文献大全
  • The controversy of combination vs monotherapy in the treatment of hospitalized community-acquired pneumonia.

    abstract:BACKGROUND:The majority of community-acquired pneumonia (CAP) patients (about 80%) will be treated as outpatients, because therapy with a single agent will work. For the remaining 20% of patients requiring hospitalization, there is some growing debate regarding the efficacy of different management approaches. For hospi...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.128.2.940

    authors: Weiss K,Tillotson GS

    更新日期:2005-08-01 00:00:00

  • Pain location, distribution, and intensity after cardiac surgery.

    abstract:STUDY OBJECTIVES:To study the location, distribution, and intensity of pain in a sample of adult cardiac surgery patients during their postoperative hospital stay. DESIGN:In a prospective study, pain location, distribution (number of pain areas per patient), and intensity (0 to 10 numerical rating scale) were document...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.2.391

    authors: Mueller XM,Tinguely F,Tevaearai HT,Revelly JP,Chioléro R,von Segesser LK

    更新日期:2000-08-01 00:00:00

  • Penetration of aminoglycosides in uninfected pleural exudates and in pleural empyemas.

    abstract::The concentrations of gentamicin, netilmicin, and amikacin were determined after one single intravenous injection in uninfected pleural fluid after thoracotomy and in purulent pleural empyemas. The mean peak concentrations in the pleural fluid after the injection of gentamicin (1.5 mg/kg), netilmicin (2.0 mg/kg), and ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.530

    authors: Thys JP,Vanderhoeft P,Herchuelz A,Bergmann P,Yourassowsky E

    更新日期:1988-03-01 00:00:00

  • A comparison of the availability of tobramycin for inhalation from vented vs unvented nebulizers.

    abstract:STUDY OBJECTIVE:To compare drug output from a vented nebulizer (Pari LC Jet Plus) with a traditional unvented nebulizer (Hudson 1730 T Up-Draft 11) using aerosolized tobramycin, which is frequently used in the treatment of cystic fibrosis. DESIGN:Six nebulizers of each type were filled with a 4 mL tobramycin (80 mg) s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.951

    authors: Coates AL,MacNeish CF,Lands LC,Meisner D,Kelemen S,Vadas EB

    更新日期:1998-04-01 00:00:00

  • Immune Checkpoint Immunotherapy for Non-Small Cell Lung Cancer: Benefits and Pulmonary Toxicities.

    abstract::Immune checkpoint inhibitors (ICIs) are newer, immunotherapy-based drugs that have been shown to improve survival in advanced non-small cell lung cancer (NSCLC). Unlike traditional chemotherapeutic agents, ICIs work by boosting the body's natural tumor killing response. However, this unique mechanism of action has als...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2018.08.1048

    authors: Suresh K,Naidoo J,Lin CT,Danoff S

    更新日期:2018-12-01 00:00:00

  • Palliative Care in Advanced Lung Disease: The Challenge of Integrating Palliation Into Everyday Care.

    abstract::The tendency toward "either/or" thinking (either cure or comfort) in traditional biomedical care paradigms does little to optimize care in advancing chronic illness. Calls for improved palliation in chronic lung disease mandate a review of related care gaps and current clinical practices. Although specialist palliativ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2593

    authors: Rocker GM,Simpson AC,Horton R

    更新日期:2015-09-01 00:00:00

  • Abdominal placement of tube thoracostomy due to lack of recognition of paralysis of hemidiaphragm.

    abstract::Tube thoracostomy is an invasive procedure that carries a risk of complications. We report a patient with liver cirrhosis, ascites and large left-sided pleural effusion, in whom a trocar type chest tube was inserted at the seventh left intercostal space in the midaxillary line. Chest roentgenogram revealed that the dr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.1.292

    authors: Foresti V,Villa A,Casati O,Parisio E,De Filippi G

    更新日期:1992-07-01 00:00:00

  • Pulmonary granulomatosis caused by aspirated green tea.

    abstract::We describe the first reported case (to our knowledge) of pulmonary granulomatosis caused by aspirated green tea. In this case, we found granulomatous alveolitis with lymph follicles, T lymphocytosis with predominantly CD8+ cells in the bronchoalveolar lavage fluids, positive serum precipitin and proliferative respons...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.1.308

    authors: Sakamoto O,Saita N,Yamasaki H,Tamanoi M,Ando M

    更新日期:1994-07-01 00:00:00

  • Relationship between pulmonary function and sleep-induced respiratory abnormalities.

    abstract::The relationships between pulmonary function and sleep-induced respiratory events were studied in 34 consecutive male patients with suspected sleep apnea syndrome. In view of the effects of obstructive airway disease on pulmonary volume and airway resistance (Raw), patients were divided into two groups, those with and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.87.4.437

    authors: Onal E,Leech JA,Lopata M

    更新日期:1985-04-01 00:00:00

  • Only severely limited, premorbid functional status is associated with short- and long-term mortality in patients with pneumonia who are critically ill: a prospective observational study.

    abstract:BACKGROUND:Severe pneumonia requiring ICU admission has not been well characterized with respect to long-term outcomes or predictors thereof. We examined the association between premorbid functional status and mortality in patients with severe pneumonia. METHODS:From 2000 to 2002, a population-based cohort of adults w...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-1054

    authors: Sligl WI,Eurich DT,Marrie TJ,Majumdar SR

    更新日期:2011-01-01 00:00:00

  • Obstructive sleep apnea and resistant hypertension: a case-control study.

    abstract:BACKGROUND:Obstructive sleep apnea syndrome (OSAS) has been linked to resistant hypertension, but the magnitude of this association and its independence of confounding have not been established. METHODS:Case patients were 63 patients with resistant hypertension (BP >or= 140/90 mm Hg using at least three BP-lowering dr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1170

    authors: Gonçalves SC,Martinez D,Gus M,de Abreu-Silva EO,Bertoluci C,Dutra I,Branchi T,Moreira LB,Fuchs SC,de Oliveira AC,Fuchs FD

    更新日期:2007-12-01 00:00:00

  • Quantification of traumatic hemomediastinum using transesophageal echocardiography: impact on patient management.

    abstract:STUDY OBJECTIVES:To determine whether the quantitative evaluation of hemomediastinum using transesophageal echocardiography (TEE) is predictive of the presence of a traumatic disruption of the thoracic aorta (TDA) or its branches in patients who have sustained severe blunt chest trauma. DESIGN:Retrospective study. SE...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.6.1475

    authors: Vignon P,Rambaud G,François B,Preux PM,Lang RM,Gastinne H

    更新日期:1998-06-01 00:00:00

  • Addition of inhaled tobramycin to ciprofloxacin for acute exacerbations of Pseudomonas aeruginosa infection in adult bronchiectasis.

    abstract:RATIONALE:Pseudomonas aeruginosa lung infection in patients with bronchiectasis, a chronic airway disease that is characterized by episodes of exacerbation, is associated with more severe disease and a higher utilization of health-care resources. Inhaled tobramycin solution reduces the number of acute exacerbations in ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.130.5.1503

    authors: Bilton D,Henig N,Morrissey B,Gotfried M

    更新日期:2006-11-01 00:00:00

  • Current approach to the diagnosis of acute nonmassive pulmonary embolism.

    abstract::Pulmonary embolism is a common and potentially lethal disease. Given the variable presentation and associated morbidity of this condition, an accurate and efficient diagnostic algorithm is required. Clinical pretest probability serves as the root of any diagnostic approach. We, thus, review several clinical decision r...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-2468

    authors: Moores LK,King CS,Holley AB

    更新日期:2011-08-01 00:00:00

  • Silicosis and tuberculosis.

    abstract::Two subjects had silicosis complicated by tuberculosis. In both patients, there was a relapse of the tuberculosis after chemotherapy was discontinued, in one case after 13 years of therapy with isoniazid and p-aminosalicylic acid. It would appear that the risk of tuberculosis in subjects with silicosis persists for li...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.2.202

    authors: Morgan EJ

    更新日期:1979-02-01 00:00:00

  • Hemoptysis in HIV-infected patients.

    abstract:STUDY OBJECTIVE:To define the causes and clinical features of hemoptysis in HIV-infected patients. DESIGN:Retrospective analysis of inpatient medical records for patients with HIV infection and hemoptysis. SETTING:A large New York City teaching hospital and tertiary referral center. PATIENTS:Fifty HIV-infected adult...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.3.737

    authors: Nelson JE,Forman M

    更新日期:1996-09-01 00:00:00

  • High frequency of atopic asthma in a pulmonary clinic population.

    abstract::Seventy-two consecutive adult asthmatic patients seen in the Pulmonary Clinic at Rhode Island Hospital were tested for atopy by prick test with 14 standard aeroallergens and by in vitro total and specific IgE determinations (FAST). A total of 58.3 percent of patients were found to be atopic by these tests. There was a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.6.1336

    authors: Kalliel JN,Goldstein BM,Braman SS,Settipane GA

    更新日期:1989-12-01 00:00:00

  • Aerosol delivery during continuous nebulization.

    abstract:BACKGROUND AND OBJECTIVES:Continuous administration of aerosolized beta 2-agonists has been suggested as an effective treatment for severe reversible airways disease. To facilitate continuous therapy and avoid a feed system for small-volume nebulizers (SVNs), a large-volume medication nebulizer (Vortran HEART) was deve...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.5.1200

    authors: McPeck M,Tandon R,Hughes K,Smaldone GC

    更新日期:1997-05-01 00:00:00

  • Experimental orthotopic heart and bilateral lung transplantation completed without cardiopulmonary bypass.

    abstract:INTRODUCTION:Most experimental studies of orthotopic heart and lung graft failure are complicated by an inability to eliminate the rejection-specific inflammatory mediator from the cardiopulmonary bypass. METHODS:The following model was developed in our laboratory to investigate the feasibility of performing an orthot...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.5.1360

    authors: Otaki M,Inoue T,Matsumoto T,Kitayama H,Oku H

    更新日期:1999-11-01 00:00:00

  • Number of lymph nodes harvested from a mediastinal lymphadenectomy: results of the randomized, prospective American College of Surgeons Oncology Group Z0030 trial.

    abstract:BACKGROUND:Lymph node status is a major determinant of stage and survival in patients with lung cancer; however, little information is available about the expected yield of a mediastinal lymphadenectomy. METHODS:The American College of Surgeons Oncology Group Z0030 prospective, randomized trial of mediastinal lymph no...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.10-0859

    authors: Darling GE,Allen MS,Decker PA,Ballman K,Malthaner RA,Inculet RI,Jones DR,McKenna RJ,Landreneau RJ,Putnam JB Jr

    更新日期:2011-05-01 00:00:00

  • Factitious methemoglobinemia caused by hyperlipemia.

    abstract::Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglob...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.1.84

    authors: Spurzem JR,Bonekat HW,Shigeoka JW

    更新日期:1984-07-01 00:00:00

  • Use of a panel of tumor markers (carcinoembryonic antigen, cancer antigen 125, carbohydrate antigen 15-3, and cytokeratin 19 fragments) in pleural fluid for the differential diagnosis of benign and malignant effusions.

    abstract:STUDY OBJECTIVE:The diagnostic value of tumor markers in pleural fluid is subject to debate. The aim of this study was to evaluate the diagnostic performance of several tumor markers in common use for detecting malignant pleural disease. DESIGN:Blinded comparison of four tumor markers in pleural fluid with a confirmat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.6.1757

    authors: Porcel JM,Vives M,Esquerda A,Salud A,Pérez B,Rodríguez-Panadero F

    更新日期:2004-12-01 00:00:00

  • Emergency room intubations--complications and survival.

    abstract::Forty-three consecutive patients requiring endotracheal intubation in an emergency room were studied prospectively to define the complications associated with intubation and the survival of these patients, and to evaluate emergency room policies. The indications for intubation were acute respiratory failure (ARF) in 2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.5.541

    authors: Taryle DA,Chandler JE,Good JT Jr,Potts DE,Sahn SA

    更新日期:1979-05-01 00:00:00

  • The Coronavirus Disease 2019 Pandemic's Effect on Critical Care Resources and Health-Care Providers: A Global Survey.

    abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has severely affected ICUs and critical care health-care providers (HCPs) worldwide. RESEARCH QUESTION:How do regional differences and perceived lack of ICU resources affect critical care resource use and the well-being of HCPs? STUDY DESIGN AND METHODS:Betw...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.09.070

    authors: Wahlster S,Sharma M,Lewis AK,Patel PV,Hartog CS,Jannotta G,Blissitt P,Kross EK,Kassebaum NJ,Greer DM,Curtis JR,Creutzfeldt CJ

    更新日期:2020-09-11 00:00:00

  • Successful treatment of right ventricular failure with atrial septostomy.

    abstract::In the case reported, a patient with severe right ventricular failure following coronary revascularization was successfully weaned from cardiopulmonary bypass following creation of an atrial septal defect. This technique facilitated rapid decompression of the failing right ventricle by shunting blood to the more compl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.5.950

    authors: Swanson MJ,Fabaz AG,Jung JY

    更新日期:1987-11-01 00:00:00

  • A 62-Year-Old Woman With Wheezing, Respiratory Failure, and an Abnormal CT Scan.

    abstract:CASE PRESENTATION:A previously healthy 62-year-old woman was transferred to the ICU from the medical ward with acute bronchospastic respiratory failure requiring intubation and mechanical ventilation. Four weeks before, the patient was vacationing in Arizona and acquired a mildly productive cough as well as mild dyspne...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.04.168

    authors: Hountras P,Cajigas H

    更新日期:2017-09-01 00:00:00

  • The diagnosis and management of supraventricular tachycardia by transesophageal cardiac stimulation and recording.

    abstract::Twenty-two consecutive patients underwent esophageal stimulation and recording for the diagnosis and management of supraventricular tachycardia. In 13 of these patients, the resting electrocardiogram was normal and in nine it showed pre-excitation. Of the 13 patients with a normal resting electrocardiogram, supraventr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.2.339

    authors: Harte MT,Teo KK,Horgan JH

    更新日期:1988-02-01 00:00:00

  • Amiodarone as a first-choice drug for restoring sinus rhythm in patients with atrial fibrillation: a randomized, controlled study.

    abstract:STUDY OBJECTIVES:To investigate the efficacy and safety of amiodarone administered as the drug of first choice in the conversion of atrial fibrillation, regardless of its duration. DESIGN:: Prospective, randomized, controlled clinical study. SETTING:: Tertiary cardiac referral center. PATIENTS:Two-hundred eight cons...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.117.6.1538

    authors: Vardas PE,Kochiadakis GE,Igoumenidis NE,Tsatsakis AM,Simantirakis EN,Chlouverakis GI

    更新日期:2000-06-01 00:00:00

  • Reversal of central sleep apnea using nasal CPAP.

    abstract::Based on the theory that obstructive (OSA) and central (CSA) sleep apneas share common pathophysiologic mechanisms, we attempted to treat eight patients with predominantly CSA by continuous positive airway pressure (CPAP). All patients exhibited repetitive episodes of CSA and mixed sleep apneas (MSA) in the supine pos...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.2.165

    authors: Issa FG,Sullivan CE

    更新日期:1986-08-01 00:00:00

  • Interaction of Glutathione S-Transferase M1, T1, and P1 Genes With Early Life Tobacco Smoke Exposure on Lung Function in Adolescents.

    abstract:BACKGROUND:Glutathione S-transferase (GST) genes are involved in the management of oxidative stress in the lungs. We aimed to determine whether they modify the associations between early life smoke exposure and adverse lung health outcomes. METHODS:The Melbourne Atopy Cohort study (a high-risk birth cohort) enrolled 6...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.chest.2018.08.1079

    authors: Dai X,Dharmage SC,Bowatte G,Waidyatillake NT,Perret JL,Hui J,Erbas B,Abramson MJ,Lowe AJ,Burgess JA,Svanes C,Lodge CJ

    更新日期:2019-01-01 00:00:00