PubMed · 8658304
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J Anthony, E J Coetzee, J Dommisse, P Smith. 1996. Pre-eclampsia and CVPs.. https://pubmed.ncbi.nlm.nih.gov/8658304/
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This article describes a simple, new technique using ultrasound (US) to estimate central venous pressure (CVP). The sonographic patterns of the internal jugular vein (IJV) with a low, normal, and elevated CVP are also described. Although bedside visual inspection of the height of the jugular veins as an estimate of CVP has been an integral part of the physical examination, its major limitation has been that the jugular veins are not always observable. In obese patients, a layer of fat often obscures the jugular pulsations. US has proven to be a powerful tool to noninvasively visualize neck veins in the emergency department. Bedside US of the IJV, performed by emergency physicians, provides immediate, important information that cannot be obtained without invasive catheters.
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We report on a female term neonate who presented with a huge cystic hygroma of the right neck associated with intraventricular haemorrhage as demonstrated by computerized tomography and magnetic resonance imaging studies. She underwent extraventricular drainage and excision of the neck mass with stable postoperative condition. Psychomotor retardation was found thereafter. To our knowledge, the association of a large cystic hygroma of the neck with intracranial haemorrhage has not been reported previously. The possible mechanism of the occurrence of the haemorrhage is discussed.