Pressão venosa central em cateter femoral: correlação com acesso superior após cirurgia cardíaca

Pacheco, Sirley da Silva; Machado, Maurício de Nassau; Amorim, Renée Costa; Rol, James da Luz; Corrêa, Léa Carolina de Lima; Takakura, Isabela Thomaz; Palmegiani, Eduardo; Maia, Lília Nigro

doi:10.1590/s0102-76382008000400006

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…Although both femoral sites were available, the reliability of femoral vein CVP readings as a surrogate is controversial, except when the intra-abdominal pressure is < 15 mmHg [ 2 ]. Pacheco et al [ 3 ] found a linear relationship between the superior vena cava and femoral vein readings when the head is positioned at zero degrees immediately after cardiac surgery. In contrast, a similar study by Groombridge et al [ 4 ] found poor agreement between the femoral and central venous pressures.…”

Section: Discussionmentioning

confidence: 99%

Central venous catheter malposition due to dialysis catheter: a case report

Rao

Singh

Samson

2016

Korean J Anesthesiol

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A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably due to hindrance by the dialysis catheter. This report describes the hurdles encountered, repeated cannulation attempts, and serial chest X-ray findings required to obtain acceptable placement of the catheter tip.

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Section: Discussionmentioning

confidence: 99%

Central venous catheter malposition due to dialysis catheter: a case report

Rao

Singh

Samson

2016

Korean J Anesthesiol

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“…Este ponto fica entre a linha axilar média e axilar anterior 4 . Outro ponto descrito para o eixo é na linha axilar média, no quarto ou quinto espaço intercostal; porém, importante lembrar que a utilização deste ponto pode superestimar a PVC real em até cinco mmHg 2,9,15 . A zeragem e o teste de resposta dinâmica devem ser realizados apenas quando em uso dos transdutores de pressão.…”

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Medida da pressão venosa central com o paciente em diferentes angulações [Central venous pressure measurement with patient at different angles]

Silva

Beccária

2016

Rev. enferm. UERJ

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“…± 4,6 mmHg (30 graus), mostrando não haver diferença significativa nas diferentes inclinações e inserções. A correlação linear entre as medidas nos dois sítios foi de 0,66 (zero grau) e 0,53 (30 graus), ambas com p < 0,0001 (PACHECO et al, 2008).…”

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Influência das diferentes inclinações de cabeceiras na monitorização hemodinâmica do paciente crítico

Felice¹

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Introduction:The management of patients in intensive care service requires monitoring of hemodynamic parameters, ensuring optimization and control of blood volume. Studies indicate that the correct horizontal positioning is unnecessary to invasive measurement of pressures. However there are few comparisons between the effect of the inclinations of 0°, 30° and 60° on the different types of hemodynamic measurements. Objectives: To investigate the effects of different backrest inclinations on measures of variation in pulse pressure (ΔPP), central venous pressure (CVP), distensibility index of the vena cava (IDVI), cardiac output (CO) and mean arterial pressure (MAP). Compare the predictive value for indicating volume using CVP and ΔPP as a predictor of IDVI. Methods: A prospective study of 31 patients admitted to the intensive care unit of the HCU-UFU. Patients were positioned with backrest inclination of 0°, 30° and 60°. For each inclination, measures ΔPP, CVP, IDVI, CO and MAP were obtained. For comparison of the results between groups was used analysis of variance.Results: There were no significant differences between the measurements obtained on the inclination 0° and 30°. In the inclination of 60°, significant variations in measures of ΔPP and CO were found. Referring to IDVI variable as a predictor of blood volume, when correlated with the CVP and ΔPP variables, the latter showed a strong correlation with the IDVI. Conclusion:The results suggest that the patient can be maintained with the backrest inclination of 30° to measurement of hemodynamic variables. The authors suggest the inclusion of assessments of ΔPP in daily use as a predictor of blood volume, in intensive care units.

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Pressão venosa central em cateter femoral: correlação com acesso superior após cirurgia cardíaca

Abstract: The CVP can be measured with accuracy in the femoral venous approach in the immediate postoperative period of heart surgery with better linear correlation obtained with the measures made with the headboard positioned at zero degree.

Cited by 8 publications

References 25 publications

Central venous catheter malposition due to dialysis catheter: a case report

Central venous catheter malposition due to dialysis catheter: a case report

Medida da pressão venosa central com o paciente em diferentes angulações [Central venous pressure measurement with patient at different angles]

Influência das diferentes inclinações de cabeceiras na monitorização hemodinâmica do paciente crítico

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