Usefulness of a central venous catheter during hepatic surgery
| Autor: | F. Stéphan, S. Rezaiguia-Delclaux |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Central venous pressure General Medicine Confidence interval Surgery Peripheral Anesthesiology and Pain Medicine Anesthesia Hepatic surgery Circulatory system Medicine business Prospective cohort study Lead (electronics) Central venous catheter |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 52:388-396 |
| ISSN: | 0001-5172 |
| DOI: | 10.1111/j.1399-6576.2007.01553.x |
| Popis: | Aim: Central venous catheter (CVC) is often inserted during liver resection because a low central venous pressure (CVP) reduces blood loss and the procedure may be associated with circulatory impairment. The aim of the study was to evaluate the usefulness of a CVC besides the measurements of CVP, and whether peripheral venous pressure (PVP) measurement could be used reliably in place of CVP. Methods: We conducted an observational study during a 16-month period. Number of CVC inserted, expected surgical difficulties, and intraoperative complications which could lead to treatment involving a CVC were prospectively recorded and analysed. Measurements of CVP and PVP were simultaneously obtained at different times during surgery. Bias and limits of agreement with their 95% confidence interval (95% CI) were calculated. Results: Of the 101 patients included, 28 had expected surgical difficulties. Of the 75 CVCs inserted, only six (8%) were used for another purpose that CVP measurement in patients with expected surgical difficulties. A total of 124 measurements in 23 patients were recorded. Mean CVP was 4.8 ± 2.9 mmHg and mean PVP was 6.9 ± 3.1 mmHg (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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