Aggarwal Vikram, Chatterjee Aniruddha, Cho Yoonju, Cheung Dickson
Dept. of Biomed. Eng., Johns Hopkins Univ., Baltimore, MD, USA.
Conf Proc IEEE Eng Med Biol Soc. 2006;2006:3843-9. doi: 10.1109/IEMBS.2006.260703.
Central venous pressure (CVP) is an important physiological parameter, the correct measure of which is a clinically relevant diagnostic tool for heart failure patients. A current challenge for physicians, however, is to obtain a quick and accurate measure of a patient's CVP in a manner that poses minimum discomfort. Current approaches for measuring CVP involve invasive methods such as threading a central venous catheter along a major vein, or tedious physical exams that require physicians to grossly estimate the measurement. Our solution proposes a novel noninvasive method to estimate central venous pressure using ultrasound-guided surface pressure measurement. Specifically, our device works in conjunction with an ultrasound machine and probe that is used to visualize the interior jugular (IJ) vein below the surface of the skin on a patient's neck. Once the interior jugular vein is located, our device detects the pressure on the skin required to collapse the IJ and correlates this value to a central venous pressure reading reported to the operator. This quick and noninvasive measurement is suitable for emergency situations or primary care settings where rapid diagnosis of a patient's CVP is required, and prevents the need for further invasive and costly procedures. The measurement procedure is also simple enough to be performed by operators without extensive medical training.
中心静脉压(CVP)是一项重要的生理参数,对其进行正确测量是心力衰竭患者临床上相关的诊断工具。然而,目前医生面临的一个挑战是以造成最小不适的方式快速准确地测量患者的中心静脉压。当前测量CVP的方法包括侵入性方法,如沿大静脉插入中心静脉导管,或需要医生粗略估计测量值的繁琐体格检查。我们的解决方案提出了一种使用超声引导表面压力测量来估计中心静脉压的新型非侵入性方法。具体而言,我们的设备与超声机器和探头协同工作,该探头用于可视化患者颈部皮肤表面下方的颈内静脉(IJ)。一旦找到颈内静脉,我们的设备会检测使颈内静脉塌陷所需的皮肤压力,并将该值与报告给操作员的中心静脉压读数相关联。这种快速且非侵入性的测量适用于需要快速诊断患者CVP的紧急情况或初级保健环境,并且无需进一步的侵入性和昂贵程序。测量过程也足够简单,未经广泛医学培训的操作员也能进行操作。