Saddle Up for Jugular Venous Pressure Assessment

A problem frequently encountered when you tilt the examination table to measure jugular venous pressure is the tendency of patients to slide down the table when the back is elevated more than 15 degrees.

 

A problem frequently encountered when you tilt the examination table to measure jugular venous pressure is the tendency of patients to slide down the table when the back is elevated more than 15 degrees. A simple solution is to have patients fully extend their legs and place their heels in the stirrups (standard on most exam tables). With this support, patients can usually be comfortably tilted as much as 50 degrees. However, use of this technique with persons who weigh more than 280 lb may damage the stirrups.

- Dennis Bauman, MD
   Columbus, Ohio

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