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Central venous pressure in a femoral access: a true evaluation? In patients with bad vascular access, the evaluation of central venous pressure (CVP) obtained in a femoral vein could be an alternative to the evaluation in central venous catheters (CVCs) located in internal jugular or subclavian veins
Should we measure the central venous pressure to guide . . . - BioMed Central The central venous pressure (CVP) is the most frequently used variable to guide fluid resuscitation in critically ill patients, although its use has been challenged In this viewpoint, we use a question and answer format to highlight the potential advantages and limitations of using CVP measurements to guide fluid resuscitation
Starling curves and central venous pressure - Critical Care Recent studies challenge the utility of central venous pressure monitoring as a surrogate for cardiac preload Starting with Starling’s original studies on the regulation of cardiac output, this review traces the history of the experiments that elucidated the role of central venous pressure in circulatory physiology Central venous pressure is an important physiologic parameter, but it is
Blood pressure and acute kidney injury - Critical Care Blood pressure has been considered to be essential for organ perfusion Therefore, maintaining the optimal blood pressure is an important aspect of preventing acute kidney injury (AKI), especially for vasopressor-dependent patients Mean arterial pressure (MAP) is widely used as an index for the optimal blood pressure
Central venous pressure measurement is associated with improved . . . Purpose Measurement of central venous pressure (CVP) can be a useful clinical tool However, the formal utility of CVP measurement in preventing mortality in septic patients has never been proven Methods The Medical Information Mart for Intensive Care III (MIMIC-III) database was searched to identify septic patients with and without CVP measurements The primary outcome was 28-day mortality
The fluid challenge | Critical Care | Full Text - BioMed Central The fluid challenge technique should be adapted to the individual patient, with each component defined in advance according to the TROL mnemonic: Type of fluid (usually a crystalloid), Rate of infusion (typically 200 ml over about 10 min), Objective (usually an increase in cardiac output by at least 10%) and Limits (excessive increase in CVP)
Perioperative fluid management in kidney transplantation: a black box Optimal fluid management is essential to reduce perioperative complications Central venous pressure (CVP)-guided volume infusion is the traditional approach in renal transplantation [7, 8] and involves intraoperative infusion of large volumes of fluid
Functional hemodynamic monitoring | Critical Care | Full Text Hemodynamic monitoring is a central component of intensive care Patterns of hemodynamic variables often suggest cardiogenic, hypovolemic, obstructive, or distributive (septic) etiologies to cardiovascular insufficiency, thus defining the specific treatments required Monitoring increases in invasiveness, as required, as the risk for cardiovascular instability-induced morbidity increases
Assessment of fluid responsiveness using pulse pressure variation . . . Hemodynamic variables Baseline value of HR, MAP, CVP, CO and CI and the HR, MAP, and CVP variation induced by fluid challenge did not allow the categorization of patients as fluid responders or fluid non-responders (additional file Table AF 6)