Peripheral venous pressure is an alternative to central venous pressure in paediatric surgery patients

Anter, A. M.; Bondok, Rasha S

doi:10.1111/j.1399-6576.2004.00503.x

Cited by 32 publications

(31 citation statements)

References 6 publications

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“…Previously, some clinicians have introduced PVP, a simple and less invasive hemodynamic monitoring variable, as an alternative to CVP and found various correlations between them. [16][17][18][19][20][21][22] However, the use of PVP in place of CVP has not been widely advocated in the past because peripheral veins have valves that may interrupt the continuous column of blood and are thinwalled, and may be more easily subjected to compression and occlusion by the surrounding soft tissues. 21 In addition, external compression by the operator or blood pressure cuff and overstretching in the catheterized arm can occlude the peripheral vein and increase PVP, and muscle movement and shivering can be other sources of interference.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17] PVP reflects an "upstream" venous variable that is coupled to CVP by a continuous column of blood. 17 Some studies have reported a good correlation between CVP and PVP and the potential of PVP functioning as a predictor of CVP in various surgical patients, [16][17][18][19][20] whereas others have shown disagreement by indicating that PVP measurement does not give an accurate estimate of CVP and warned against this replacement. 21,22 Therefore, the aim of this study was to determine whether a clinically acceptable agreement or a reliable correlation between CVP and PVP exist and CVP can be replaced by PVP for right hepatectomy in living liver donors.…”

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confidence: 99%

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Can peripheral venous pressure be an alternative to central venous pressure during right hepatectomy in living donors?

Choi

Gwak

et al. 2007

Liver Transpl

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The safety of living donors is a matter of cardinal importance in addition to obtaining optimal liver grafts to be transplanted. Central venous pressure (CVP) is known to have significant correlation with the amount of bleeding during parenchymal transection and many centers have adopted CVP monitoring for right hepatectomy. However, central line cannulation can induce some serious complications. Peripheral venous pressure (PVP) has been suggested as a comparable alternative to CVP. The aim of this study was to determine whether a clinically acceptable agreement or a reliable correlation between CVP and PVP exist and if CVP can be replaced by PVP in living liver donors. A central venous catheter was placed through the right internal jugular vein and a peripheral venous catheter was inserted at antecubital fossa in the right arm. CVP and PVP were recorded in 15-minunte intervals in 50 adult living donors. The paired data were divided into 3 stages: preparenchymal transection, parenchymal transection, and postparenchymal transection. A total of 1,430 simultaneous measurements of CVP and PVP were recorded. Overall, the PVP, CVP, and bias were 7.0 Ϯ 2.46, 5.9 Ϯ 2.32, and 1.16 Ϯ 1.12 mmHg, respectively. A total of 88.9% of all measurements were clinically within acceptable limits of bias (Ϯ2 mmHg). Regression analysis showed a high correlation coefficient between PVP and CVP (r ϭ 0.893; P Ͻ 0.001) and the limits of agreement were Ϫ1.03 to 3.34 overall. In conclusion, frequencies of differences, bias, correlation coefficient, and limits of agreement between PVP and CVP remained relatively constant throughout the operation. Therefore, PVP measurement in the arm can be an alternative to predict CVP and further, obviate central venous catheter-related complications in living liver donors.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Can peripheral venous pressure be an alternative to central venous pressure during right hepatectomy in living donors?

Choi

Gwak

et al. 2007

Liver Transpl

View full text Add to dashboard Cite

show abstract

“…Several studies employing invasive and non invasive techniques showed a good correlation between peripheral venous pressure and CVP under a variety of study conditions in the operating room and the intensive care unit. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Basis for these studies is the fact, that in supine position pressure values within the cephalic, basilic and brachial veins are nearly identical to those of the superior vena cava. 4,5,19 Measurements of the inferior vena cava (IVC) diameter using ultrasound is frequently used to assess volume status of critically ill patients 20,21 , primarily distinguishing hypo-from iso-and hypervolemic conditions.…”

Section: Introductionmentioning

confidence: 99%

Non-invasive central venous pressure measurement by compression ultrasound—A step into real life

et al. 2009

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“…Numerous studies performed in patients under general anesthesia showed that PVP can be used as a substitute for CVP [9][10][11][12]. This was the first study to investigate the relationship between CVP and PVP in critically ill patients.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, the correlation coefficient between them was greater than 0.9 in many previous studies [7][8][9][10]. Conversely, the correlation coefficient between them is much smaller under unstable hemodynamic conditions [11].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous peripheral and central venous pressure monitoring for evaluating cardiac preload in critically ill patients

Yanagisawa¹,

Takazawa²,

Kanamoto³

et al. 2017

Biomed Res Clin Prac

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Purpose: Arterial waveform-derived dynamic variables, such as stroke volume variation (SVV), are useful for predicting fluid responsiveness in perioperative patients. Since specific catheters and machines must be used for measuring SVV, we tried to find a novel indicator that correlates with SVV values and can be calculated using usual monitoring equipment. Methods:A total of 50 patients admitted to the ICU, both intubated (n=25) and non-intubated (n=25), were enrolled in this prospective observational study. Intubated patients received mechanical ventilation under pressure controlled ventilation (PCV) or continuous positive airway pressure /pressure support ventilation (CPAP/PSV) modes. SVV values were used for assessment of cardiac preload. Besides SVV, central venous pressure (CVP) and peripheral venous pressure (PVP) were simultaneously recorded. In each patient, 10 data pairs were randomly acquired at 1 hour or longer intervals.Results: Regression analysis showed a slightly weaker but substantial association between PVP and CVP (Pearson's correlation coefficient r=0.91, p<0.0001). However, we found that PVP-CVP difference values correlated with SVV (r=0.64, p<0.0001). Moreover, we were able to predict whether SVV was normal (≤ 10%) or high (>10%) from PVP-CVP difference values with high accuracy. This prediction was not affected by the respiratory mode. Conclusion:The difference between PVP and CVP might serve as a novel indicator of the adequacy of cardiac preload that does not require specific equipment, such as the FloTrac/Vigileo Monitor®.

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Peripheral venous pressure is an alternative to central venous pressure in paediatric surgery patients

Cited by 32 publications

References 6 publications

Can peripheral venous pressure be an alternative to central venous pressure during right hepatectomy in living donors?

Can peripheral venous pressure be an alternative to central venous pressure during right hepatectomy in living donors?

Non-invasive central venous pressure measurement by compression ultrasound—A step into real life

Simultaneous peripheral and central venous pressure monitoring for evaluating cardiac preload in critically ill patients

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