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Central venous pressure in a femoral access: a true evaluation? In patients with bad vascular access, the evaluation of central venous pressure (CVP) obtained in a femoral vein could be an alternative to the evaluation in central venous catheters (CVCs) located in internal jugular or subclavian veins
Should we measure the central venous pressure to guide fluid management . . . The central venous pressure (CVP) is the most frequently used variable to guide fluid resuscitation in critically ill patients, although its use has been challenged In this viewpoint, we use a question and answer format to highlight the potential advantages and limitations of using CVP measurements to guide fluid resuscitation
Central venous pressure measurement is associated with improved . . . Purpose Measurement of central venous pressure (CVP) can be a useful clinical tool However, the formal utility of CVP measurement in preventing mortality in septic patients has never been proven Methods The Medical Information Mart for Intensive Care III (MIMIC-III) database was searched to identify septic patients with and without CVP measurements The primary outcome was 28-day mortality
A comparison of central venous pressure (CVP) in the . . . - BioMed Central The measurement of CVP via the femoral route using a long catheter placed, under electrocardiographic guidance, in the inferior vena cava, close to the right atrium has been shown to accurately reflect superior vena cava pressure (SVCP) in critically ill adults [1] We assessed the possibility of using widely available and more easily placed short catheters (15-20 cm in length), placed via the
Cardiac output and CVP monitoring… to guide fluid removal We read with interest the recently published position papers on central venous pressure (CVP) [1] and cardiac output (CO) [2] monitoring in critically ill patients and wish to further comment on their potential benefit Haemodynamic monitoring is usually considered for haemodynamic support guidance during the early phase of shock We would like, however, to emphasize the role of CVP and CO
Starling curves and central venous pressure - Critical Care Recent studies challenge the utility of central venous pressure monitoring as a surrogate for cardiac preload Starting with Starling’s original studies on the regulation of cardiac output, this review traces the history of the experiments that elucidated the role of central venous pressure in circulatory physiology Central venous pressure is an important physiologic parameter, but it is
The fluid challenge | Critical Care | Full Text - BioMed Central The fluid challenge technique should be adapted to the individual patient, with each component defined in advance according to the TROL mnemonic: Type of fluid (usually a crystalloid), Rate of infusion (typically 200 ml over about 10 min), Objective (usually an increase in cardiac output by at least 10%) and Limits (excessive increase in CVP)
Functional hemodynamic monitoring | Critical Care | Full Text Hemodynamic monitoring is a central component of intensive care Patterns of hemodynamic variables often suggest cardiogenic, hypovolemic, obstructive, or distributive (septic) etiologies to cardiovascular insufficiency, thus defining the specific treatments required Monitoring increases in invasiveness, as required, as the risk for cardiovascular instability-induced morbidity increases
Blood pressure and acute kidney injury - Critical Care Blood pressure has been considered to be essential for organ perfusion Therefore, maintaining the optimal blood pressure is an important aspect of preventing acute kidney injury (AKI), especially for vasopressor-dependent patients Mean arterial pressure (MAP) is widely used as an index for the optimal blood pressure
Perioperative fluid management in kidney transplantation: a black box Optimal fluid management is essential to reduce perioperative complications Central venous pressure (CVP)-guided volume infusion is the traditional approach in renal transplantation [7, 8] and involves intraoperative infusion of large volumes of fluid