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The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posterior compartment of the jugular foramen, at the base of the skull.
The jugular vein is the subject of an idiom in the English language: "to go for the jugular" means to attack decisively at the weakest point. However, this phrase is anatomically inaccurate, as the jugular is not the most critical or vulnerable point in the cardiovascular system.
The jugular venous pressure (JVP, sometimes referred to as jugular venous pulse) is the indirectly observed pressure over the venous system via visualization of the internal jugular vein. It can be useful in the differentiation of different forms of heart and lung disease .
Kussmaul's sign is a paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration. It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart dysfunction.
Patients with SJVCS experience compression of venous outflow on both sides due to bone structures. It occurs due to compression of the internal jugular vein (IJV) between the C1 vertebrae transverse process and the temporal styloid process. Treatments like venous stenting and styloidectomy have shown positive results. [13] [14] [15] [16]
The carotid sheath is a condensation of the deep cervical fascia [1]: 578 enveloping multiple vital neurovascular structures of the neck, [2] including the common and internal carotid arteries, the internal jugular vein, the vagus nerve (CN X), and ansa cervicalis. [1]: 578 [2] The carotid sheath helps protects the structures contained therein. [2]
The rising central venous pressure is evidenced by distended jugular veins while in a non-supine position. It is caused by reduced diastolic filling of the right ventricle, due to pressure from the adjacent expanding pericardial sac. This results in a backup of fluid into the veins draining into the heart, most notably, the jugular veins.
Catheter placement in one of the big veins (Subclavian vein, Internal jugular vein or femoral vein) is routinely done to monitor central venous pressure (CVP), to administer long term intravenous medication and parenteral nutrition in critically sick patients. The subclavian vein is the preferred choice for this purpose because it is most ...