Non-Invasive Assessment of Central Venous Pressure Using Near Infrared Spectroscopy

Hoyt, John R.; Koelling, Todd M.

doi:10.1016/j.cardfail.2013.06.166

Cited by 3 publications

(4 citation statements)

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“…A study by Hoyt and Koelling [13] in 2013 showed that the CVP value by NIRS was consistent with the CVP value by right heart catheterization. This is also supported by research conducted by Sathish et al [14] on monitoring CVP values in cardiac surgery patients in the ICU, which showed that CVP values can be used to substitute CVP values with invasive, simple, and continuous measurements.…”

Section: Introductionsupporting

confidence: 58%

“…[15] Therefore, considering that the previous study used a similar population of interest, it is reasonable to conduct the study with a minimum size of 20 individuals as referenced in their methodology and our calculation to establish the sample size. The consciousness level was interpreted using GCS scoring results: mild (13)(14)(15), moderate (9)(10)(11)(12), severe (3)(4)(5)(6)(7)(8), and coma (<3). The severity scale was based on a resource file released by the CDC for interpretation of GCS (https://www.cdc.gov/ masstrauma/resources/gcs.pdf), which was further elaborated by Jain and Iverson to implement the scale for patients with TBI.…”

Section: Methodsmentioning

confidence: 99%

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Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan

Nasution¹,

Lubis²

2023

Emerg Crit Care Med

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BackgroundAcquired brain injury (ABI) is caused by trauma or nontrauma to the brain after birth. Increased intracranial pressure in patients with traumatic or nontraumatic brain injury affects the cerebral perfusion pressure. After traumatic brain injury, there is an increase in air content in the brain and an increase in volume of blood flow to the brain, which can cause increased intracranial pressure, herniation of brain tissue, impaired cerebral perfusion, and brain damage. Most patients with traumatic brain injury die from uncontrolled increases in intracranial pressure. Near-infrared spectroscopy (NIRS) and central venous pressure (CVP) monitoring are also associated with cerebral perfusion. This study aimed to determine the relationship between the Glasgow Coma Scale (GCS) scores and CVP and NIRS values in patients with ABI.MethodsThis prospective analytical study used a cross-sectional design to compare GCS scores with CVP and NIRS values in patients with traumatic and nontraumatic brain injury in the intensive care unit (ICU) of Haji Adam Malik Hospital Medan. GCS, CVP, and NIRS descriptive data in patients with brain injury were presented in terms of mean and standard deviation if the data were normally distributed, or median (interquartile range) values if the data were not normally distributed. The relationship between GCS scores and CVP and NIRS values was assessed using the Pearson correlation test if the data were normally distributed, or the Spearman test if the data were not normally distributed.ResultsIn this study, the mean GCS score and CVP values were 7.04 ± 2.69 and 5.63 ± 25.82 mmHg, respectively. The right tissue oxygen saturation (StO2) was 55.61% ± 18.72%, and the left StO2 was 57.57% ± 17.48% with normally distributed data. There was no correlation between GCS scores and CVP values (P = 0.829), and no correlation between moderate GCS scores and right and left StO2 (P = 0.343; P = 0.121); however, there was a significantly strong positive correlation between severe GCS scores and right and left StO2 (P = 0.028, r = 0.656; P = 0.005, r = 0.777).ConclusionThere was no significant correlation between GCS scores and CVP values, and no correlation between moderate GCS scores and NIRS values; however, there was a significantly strong positive correlation between severe GCS scores and NIRS values in patients with ABI at the ICU of Haji Adam Malik Hospital Medan.

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Section: Introductionsupporting

confidence: 58%

Section: Methodsmentioning

confidence: 99%

Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan

Nasution¹,

Lubis²

2023

Emerg Crit Care Med

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“…Although we found good correlations between RAP measured by NIRS and echocardiographic indices of congestion, we did not collect invasive haemodynamic data in our patients. However, others have shown that RAP measured by NIRS is accurate compared with invasive measurements …”

Section: Discussionmentioning

confidence: 94%

Non‐invasive measurement of right atrial pressure by near‐infrared spectroscopy: preliminary experience. A report from the SICA‐HF study

Pellicori

Clark

Kallvikbacka‐Bennett

et al. 2017

European J of Heart Fail

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Aims: To assess the clinical value of measuring right atrial pressure (RAP) using near-infrared spectroscopy (NIRS) in patients with chronic heart failure (CHF). Compared with patients with RAP<= 5 mmHg, those with RAP>= 10 mmHg had a greater risk of an event (hazard ratio 2.38, 95% confidence interval 1.19 -4.75, P = 0.014). RAP measured by NIRS predicted outcome, competing with NT-proBNP in multivariable models. Methods and results Conclusions:Measuring RAP using NIRS identifies ambulatory patients with CHF who have more severe congestion and a worse outcome. The device might be a useful objective method of monitoring RAP, especially for those inexperienced in eliciting physical signs or when measurement of natriuretic peptides is not immediately available.

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“…A non-invasive device (VENUS 2000 CVP monitor, Mespere LifeScience Inc, Waterloo, Canada) was used to measure central venous pressure (CVP) using a small adhesive neck sensor placed over the external jugular vein. The device uses near infrared spectroscopy to determine the pressure in the external jugular vein and its clinical use has been validated in critically ill patients with cardiovascular conditions, and in out-patients setting for patient with heart failure [ 19 – 21 ].…”

Section: Methodsmentioning

confidence: 99%

Warm water immersion in patients with chronic heart failure: a pilot study

et al. 2018

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Background Patients with chronic conditions, such as heart failure, swim regularly and most rehabilitation exercises are conducted in warm hydrotherapy pools. However, little is known about the acute effects of warm water immersion (WWI) on cardiac haemodynamics in patients with chronic heart failure (CHF). Methods Seventeen patients with CHF (NYHA I and II; mean age 67 years, 88% male, mean left ventricular ejection fraction 33%) and 10 age-matched normal subjects were immersed up to the neck in a hydrotherapy pool (33–35 °C). Cardiac haemodynamics were measured non-invasively, and echocardiography was performed at baseline, during WWI, 3 min after kicking in the supine position and after emerging. Results In patients with CHF, compared to baseline, WWI immediately increased stroke volume (SV, mean ± standard deviation; from 65 ± 21 to 82 ± 22 mL, p < 0.001), cardiac output (CO, from 4.4 ± 1.4 to 5.7 ± 1.6 L/min, p < 0.001) and cardiac index (CI, from 2.3 ± 0.6 to 2.9 ± 0.70 L/min/m², p < 0.001) with decreased systemic vascular resistance (from 1881 ± 582 to 1258 ± 332 dynes/s/cm 5 , p < 0.001) and systolic blood pressure (132 ± 21 to 115 ± 23 mmHg, p < 0.001). The haemodynamic changes persisted for 15 min of WWI. In normal subjects, compared to baseline, WWI increased SV (from 68 ± 11 to 80 ± 18 mL, p < 0.001), CO (from 5.1 ± 1.9 to 5.7 ± 1.8 L/min, p < 0.001) and CI (from 2.7 ± 0.9 to 2.9 ± 1.0 L/min/m², p < 0.001).In patients with CHF, compared to baseline, WWI caused an increase in left atrial volume (from 57 ± 44 to 72 ± 46 mL, p = 0.04), without any changes in left ventricular size or function or amino terminal pro B-type natriuretic peptide. Conclusions In patients with CHF, WWI causes an acute increase in cardiac output and a fall in systemic vascular resistance. Clinical trial registration ClinicalTrials.gov (Identifier: NCT02949544) https://clinicaltrials.gov/ct2/show/NCT02949544?cond=NCT02949544&rank=1 .

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Non-Invasive Assessment of Central Venous Pressure Using Near Infrared Spectroscopy

Cited by 3 publications

References 0 publications

Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan

Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan

Non‐invasive measurement of right atrial pressure by near‐infrared spectroscopy: preliminary experience. A report from the SICA‐HF study

Warm water immersion in patients with chronic heart failure: a pilot study

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