Central venous pressure and peripheral venous pressure, however correlated are still both in the gray-area
| Autor: | Kevin Kearns, Clément Dubost, Matthieu Pissot, Alexandre Salvadori |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry Venous pressure Fluid responsiveness Central venous pressure 030208 emergency & critical care medicine Critical Care and Intensive Care Medicine medicine.disease Surgery Peripheral Sepsis 03 medical and health sciences Preload 0302 clinical medicine Positive response Blood pressure 030228 respiratory system Internal medicine medicine Cardiology Letters to the Editor business |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| DOI: | 10.4103/0972-5229.173698 |
| Popis: | Sir, In their prospective observational study Kumar et al. demonstrated an acceptable correlation between central venous pressure (CVP) and peripheral venous pressure (PVP), especially when CVP >10 cm H2 O.[1] They proposed to use PVP measurement to guide fluid therapy in a wide variety of critically ill patients. Whereas being of very high interest for clinicians, we would like to underline some drawbacks that may prevent the efficient use of PVP. First, several studies have shown that CVP was not a reliable indicator of cardiac preload and a review of literature concluded in 2008 that CVP should not be used to guide fluid management.[2] This might be too restrictive because the physiology tells us that CVP reflects the diastolic pressure of the right ventricle. Very low values of CVP |
| Databáze: | OpenAIRE |
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