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Central venous pressure monitoring and mortality: What was neglected . . . We are interested in the recent published article about the association between central venous pressure (CVP) monitoring and mortality for ICU patients with sepsis [1] The study provides new insights into this traditional monitoring However, an important factor might make the study more convincing if it had been taken into account
Comment on: Association between intrarenal venous flow from Doppler . . . With great interest we read the recent article by Fujii et al [1], which brings forth valuable insights in the domain of volume assessment in critically ill patients The authors conclude that distinct intrarenal venous flow (IRVF) patterns are indicative of renal venous congestion and that they do not correlate with central venous pressure (CVP) but are associated with subsequent acute
Lactate and stepwise lactate kinetics can be used to guide . . . Many studies have demonstrated lower CVP associated with better outcome in sepsis [11, 12] Thus, after the initial resuscitation, as the lactate kinetics targets were achieved, we tried to keep the CVP as low as possible Even then, the lactate kinetic group still needed more fluid and had higher CVP
Right ventricular failure in septic shock: characterization, incidence . . . Conclusions: RV failure, defined by critical care echocardiography (RV dilatation) and a surrogate of venous conges‐ tion (CVP ≥ 8 mmHg), was frequently observed in septic shock patients and negatively associated with response to a fluid challenge despite significant PPV TAPSE was unable to discriminate patients with or without RV failure Keywords: Right ventricular failure, TAPSE, Fluid
Hemodynamic monitoring and management in patients undergoing high risk . . . Introduction Several studies have demonstrated that perioperative hemodynamic optimization has the ability to improve postoperative outcome in high-risk surgical patients All of these studies aimed at optimizing cardiac output and or oxygen delivery in the perioperative period We conducted a survey with the American Society of Anesthesiologists (ASA) and the European Society of
Is chest X-ray necessary after central venous catheter insertion? According to the European Society of Parenteral and Enteral Nutrition guidelines [1], post-insertion chest X-ray (CXR) is not necessary if the location of the tip has been verified during the procedure and if pleura-pulmonary damage has been ruled out by other methods The aim of this study is to assess feasibility and safety of an echo-ECG-guided method of central venous catheter (CVC
Review Functional hemodynamic monitoring - BioMed Central Abstract 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