SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING
Objective: To find the correlation between thoracic and femoral central venous pressure (CVP) and changes in femoral CVP, if any, incurred by intra-abdominal pressure. Study Design: Cross sectional observational study. Place and Duration of Study: Coronary care unit of National Institute of Ca...
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Army Medical College Rawalpindi
2019
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oai:doaj.org-article:fd72cfe0bea449e499cfe56fe3ab73e52021-11-11T06:03:49ZSITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING0030-96482411-8842https://doaj.org/article/fd72cfe0bea449e499cfe56fe3ab73e52019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3014/2252https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To find the correlation between thoracic and femoral central venous pressure (CVP) and changes in femoral CVP, if any, incurred by intra-abdominal pressure. Study Design: Cross sectional observational study. Place and Duration of Study: Coronary care unit of National Institute of Cardiovascular Diseases Karachi, from Jul 2017 to Sep 2017. Material and Methods: We randomly selected 90 patients who had a thoracic central catheter and another femoral catheter in place. A central venous pressure (CVP) pressure was recorded at both sites simultaneously with the same electronic transducer after zero calibration. An intra-abdominal pressure was also noted. Results: Ninety patients participated in our study where mean age was 58.90 ± 11.34 years. The mean thoracic CVP was 11.22 ± 3.53 mmHg while mean femoral CVP was 11.38 ± 3.53 mmHg, with a mean pressure difference of -0.16 mmHg between the two. We also calculated intra-abdominal pressure with mean of 6.20 ± 2.47 mmHg. The reliability of the two methods was determined by intra class coefficient model where we got a higher value of 0.97 with significant p-value of <0.001. We analyzed the limits of agreement between the two approaches by Bland and Altman plot, where the mean difference between thoracic and femoral CVP was -0.16 mmHg (95 % CI - 0.34 - 0.02). Conclusion: Central venous pressure can be reliably and accurately measured through femoral site.Muhammad Imran AnsariJawed AbubakerSyed Zia UllahAdeel SohailAziz Ur RehmanShazia AhmadMusa KarimArmy Medical College Rawalpindiarticlecentral venous pressurecritical illnessfemoral veinintra-abdominal pressureMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 490-494 (2019) |
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DOAJ |
language |
EN |
topic |
central venous pressure critical illness femoral vein intra-abdominal pressure Medicine R Medicine (General) R5-920 |
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central venous pressure critical illness femoral vein intra-abdominal pressure Medicine R Medicine (General) R5-920 Muhammad Imran Ansari Jawed Abubaker Syed Zia Ullah Adeel Sohail Aziz Ur Rehman Shazia Ahmad Musa Karim SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
description |
Objective: To find the correlation between thoracic and femoral central venous pressure (CVP) and changes in femoral CVP, if any, incurred by intra-abdominal pressure.
Study Design: Cross sectional observational study.
Place and Duration of Study: Coronary care unit of National Institute of Cardiovascular Diseases Karachi, from Jul 2017 to Sep 2017.
Material and Methods: We randomly selected 90 patients who had a thoracic central catheter and another femoral catheter in place. A central venous pressure (CVP) pressure was recorded at both sites simultaneously with the same electronic transducer after zero calibration. An intra-abdominal pressure was also noted.
Results: Ninety patients participated in our study where mean age was 58.90 ± 11.34 years. The mean thoracic CVP was 11.22 ± 3.53 mmHg while mean femoral CVP was 11.38 ± 3.53 mmHg, with a mean pressure difference of -0.16 mmHg between the two. We also calculated intra-abdominal pressure with mean of 6.20 ± 2.47 mmHg. The reliability of the two methods was determined by intra class coefficient model where we got a higher value of 0.97 with significant p-value of <0.001. We analyzed the limits of agreement between the two approaches by Bland and Altman plot, where the mean difference between thoracic and femoral CVP was -0.16 mmHg (95 % CI - 0.34 - 0.02).
Conclusion: Central venous pressure can be reliably and accurately measured through femoral site. |
format |
article |
author |
Muhammad Imran Ansari Jawed Abubaker Syed Zia Ullah Adeel Sohail Aziz Ur Rehman Shazia Ahmad Musa Karim |
author_facet |
Muhammad Imran Ansari Jawed Abubaker Syed Zia Ullah Adeel Sohail Aziz Ur Rehman Shazia Ahmad Musa Karim |
author_sort |
Muhammad Imran Ansari |
title |
SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
title_short |
SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
title_full |
SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
title_fullStr |
SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
title_full_unstemmed |
SITE OF CENTRAL VENOUS ACCESS IS NOT IMPORTANT FOR FLUID RESUSCITATION AND MONITORING |
title_sort |
site of central venous access is not important for fluid resuscitation and monitoring |
publisher |
Army Medical College Rawalpindi |
publishDate |
2019 |
url |
https://doaj.org/article/fd72cfe0bea449e499cfe56fe3ab73e5 |
work_keys_str_mv |
AT muhammadimranansari siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT jawedabubaker siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT syedziaullah siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT adeelsohail siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT azizurrehman siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT shaziaahmad siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring AT musakarim siteofcentralvenousaccessisnotimportantforfluidresuscitationandmonitoring |
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1718439555847159808 |