Keep head of bed elevated to 30 degrees. Use longitudinal probe and obtain view of right internal jugular vein in horizontal axis (similar to central line imaging).
Slide towards head until IJ collapses inwards.
Center the internal jugular on the screen and then rotate probe vertically to create longitudinal view. Where the IJ tapers is the JVP point. Center the area of taper on the screen by sliding.
Mark the probes midline position. Place ruler horizontal ruler from probe midline, then this ruler meets with second ruler coming vertically from the sternal angle. This second ruler height is the JVP.
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