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JAMES J. RAMS, MD; GEORGE R. DAICOFF, MD; PETER V. MOULDER, MD

AMA Arch Surg. 1966;92(6):886.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

FREQUENT measurement of central venous pressure is important in the maintenance of an effective blood volume in seriously ill patients.¹ The difficulty in placing the tip of a catheter in the intra-thoracic vena cava and the fears of subsequent complications^2-4 have discouraged the use of this measurement. The procedure described here provides a facile, accurate, and safe measurement of the central venous pressure.

Method

A polyvinyl-chloride catheter with x-ray markings is placed into the superior vena cava in the following manner. With the patient in a supine, mild scultetus position and the face turned to one side, the external jugular vein becomes prominent when Valsalva's maneuver is performed. Using a local anesthetic, the low point of prominence of the vein is then isolated via a cutdown and a catheter, which is ultimately passed into the superior vena cava, is introduced into the vessel. Occasionally difficulty occurs in passing . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Department of Surgery, University of Chicago.

Footnotes
Submitted for publication Feb 25, 1966.

Reprint requests to 950 E 59th St, Chicago 60637 (Dr. Rams).

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