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References in periodicals archive ?
The new technique, developed by researchers in VCU's Reanimation Engineering Shock Center (VCURES), determines CVP by monitoring blood volume changes in the arm in response to externally applied circumferential pressure to the brachial vein -- the large vessel in the arm that carries blood between the elbow and shoulder back to the heart.
This compression could be associated to several causes, e.g., a sequela resulting from vein cauterization (Lake, 1974); fibrous arcs formed by the superficial flexor muscle of the fingers, teres pronator, or both; compression caused by the Gantzer muscle, accessory head of the long flexor muscle of thumb (Collins & Weber, 1983; Dellon & Mackinnon; Olenick et al., Shirali et al., 1998); anatomical variations and vascular chains surrounding the nerve, as related by Braun & Spinner, 1991, they noticed during a surgical intervention, that the compression of the nerve occurred in the distal part of the arm, caused by communicating veins that jointed to the cephalic and basilic veins and with the brachial vein through a bicipital aponeurosis.
Alternate methods include cannulation of the deep brachial vein, External Jugular Vein (EJV) or a central vein.
Deep vein thrombosis (DVT) of the upper extremity is diagnosed when a clot is visualized in the subclavian, axillary, or brachial vein.
This novel technique may also be performed by giving some contrast agent through the ipsilateral brachial vein for guidance (5).