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Central Venous Pressure

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1. Impact of Initial Central Venous Pressure on Outcomes of Conservative Versus Liberal Fluid Management in Acute Respiratory Distress Syndrome

Impact of Initial Central Venous Pressure on Outcomes of Conservative Versus Liberal Fluid Management in Acute Respiratory Distress Syndrome PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2017 PedsCCM Evidence-Based Journal Club

2. Central venous minus arterial carbon dioxide pressure to arterial minus central venous oxygen content ratio as a diagnostic tool: a systematic review and meta-analysis

Central venous minus arterial carbon dioxide pressure to arterial minus central venous oxygen content ratio as a diagnostic tool: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

3. Effects of time delay and body temperature on measurements of central venous oxygen saturation, venous-arterial blood carbon dioxide partial pressures difference, venous-arterial blood carbon dioxide partial pressures difference/arterial-venous oxygen dif Full Text available with Trip Pro

Effects of time delay and body temperature on measurements of central venous oxygen saturation, venous-arterial blood carbon dioxide partial pressures difference, venous-arterial blood carbon dioxide partial pressures difference/arterial-venous oxygen dif Central venous oxygen saturation (ScvO2), venous-arterial blood carbon dioxide partial pressures difference (Pv-aCO2), venous-arterial blood carbon dioxide partial pressures difference/arterial-venous oxygen difference ratio (Pv-aCO2/Ca-vO2 (...) ) and lactate are important parameters employed during shock resuscitation. We designed this study to confirm the effects of time delay and body temperature on measurements of these four parameters.Arterial and central venous blood samples were simultaneously drawn by plastic syringes via indwelling intra-arterial and central venous catheters from critically ill patients. Blood gas analyses were performed on both samples and repeated after 10, 20, 30, 40, 50 and 60 min. Patients were divided into a control

2018 BMC Anesthesiology

4. Correlation Between Peripheral Venous Pressure and Central Venous Pressure in the Cardiac Intensive Care Unit

Correlation Between Peripheral Venous Pressure and Central Venous Pressure in the Cardiac Intensive Care Unit Correlation Between Peripheral Venous Pressure and Central Venous Pressure in the Cardiac Intensive Care Unit - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. Correlation Between Peripheral Venous Pressure and Central Venous Pressure in the Cardiac Intensive Care Unit The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2018 Clinical Trials

5. Utility of Central Venous Pressure as a Predictor of Fluid Responsiveness

Utility of Central Venous Pressure as a Predictor of Fluid Responsiveness TAKE-HOME MESSAGE Existing evidence suggests that central venous pressure poorly predicts ?uid responsiveness in acute and critically ill patients. Utility of Central Venous Pressure as a Predictor of Fluid Responsiveness EBEM Commentators Michael Gottlieb, MD Department of Emergency Medicine Cook County Hospital Chicago, IL Benton Hunter, MD Department of Emergency Medicine Indiana University School of Medicine (...) central venous pressure subgroups. CVP Subgroup (mm Hg) Number of Patients (%) Positive Likelihood Ratio (95% CI) Negative Likelihood Ratio (95% CI) AUC-ROC (95% CI) Low ( 12) 263 (23) 0.69 (0.55–0.85) 1.12 (1.05–1.19) 0.56 (0.48–0.63) CVP, Central venous pressure; CI, con?dence interval. METHODS DATA SOURCES Two authors independently searched PubMed and EMBASE through April 2015, without language restrictions. Bibliographies of included studies were also reviewed. Authors of all identi?ed studies

2016 Annals of Emergency Medicine Systematic Review Snapshots

6. Stroke Volume Variation-Guided Versus Central Venous Pressure-Guided Low Central Venous Pressure With Milrinone During Living Donor Hepatectomy: A Randomized Double-Blinded Clinical Trial. (Abstract)

Stroke Volume Variation-Guided Versus Central Venous Pressure-Guided Low Central Venous Pressure With Milrinone During Living Donor Hepatectomy: A Randomized Double-Blinded Clinical Trial. We previously demonstrated the usefulness of milrinone for living donor hepatectomy. However, a less-invasive alternative to central venous catheterization and perioperative contributors to good surgical outcomes remain undetermined. The current study evaluated whether the stroke volume variation (SVV)-guided (...) method can substitute central venous catheterization during milrinone-induced profound vasodilation.We randomly assigned 42 living liver donors to receive either SVV guidance or central venous pressure (CVP) guidance to obtain milrinone-induced low CVP. Target SVV of 9% was used as a substitute for CVP of 5 mm Hg. The surgical field grade evaluated by 2 attending surgeons on a 4-point scale was compared between the CVP- and SVV-guided groups (n = 19, total number of scores = 38 per group

2017 Anesthesia and Analgesia Controlled trial quality: predicted high

7. Elevated central venous pressure is associated with increased mortality and acute kidney injury in critically ill patients: a meta-analysis

Elevated central venous pressure is associated with increased mortality and acute kidney injury in critically ill patients: a meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration

2019 PROSPERO

8. Rectal, central venous, gastric and bladder pressures versus esophageal pressure for the measurement of cough strength: a prospective clinical comparison. Full Text available with Trip Pro

Rectal, central venous, gastric and bladder pressures versus esophageal pressure for the measurement of cough strength: a prospective clinical comparison. Cough pressure, an expression of expiratory muscle strength, is usually measured with esophageal or gastric balloons, but these invasive catheters can be uncomfortable for the patient or their placement impractical. Because pressure in the thorax and abdomen are expected to be similar during a cough, we hypothesized that measurement at other (...) thoracic or abdominal locations might also be similar as well as useful in clinical scenarios. This study aimed to compare cough pressures measured at thoracic and abdominal sites that could serve as alternatives to esophageal pressures (Pes).Nine patients scheduled for laparotomy were asked to cough as forcefully as possible from total lung capacity in supine position. Three cough maneuvers were performed while Pes (the gold standard) as well as gastric, central venous, bladder and rectal pressures

2018 Respiratory research

9. Doppler Recognition of Low or Normal Central Venous Pressure from Continuous Flow from Inferior Vena Cava Into Right Atrium. (Abstract)

Doppler Recognition of Low or Normal Central Venous Pressure from Continuous Flow from Inferior Vena Cava Into Right Atrium. Estimation of right atrial (RA) or central venous pressure (CVP) is a critical component of a comprehensive transthoracic echocardiographic (TTE) examination. We hypothesize that continuous inflow from the inferior vena cava (IVC) into the RA is a surrogate for low/normal CVP and can be reliably imaged in standard echocardiographic parasternal short and right ventricular (...) and compared in these 2 groups. The average time interval between TTE and RHC was 266 ± 151 minutes. Of 60 patients (males = 39 (65%); age 63 ± 14 years), 12 patients (20%) had continuous DW and 48 (80%) had interrupted DW inflow signal from IVC into the RA. Of the 12 patients with continuous flow, 11 had RA pressure of ≤7 mm Hg. Similarly, of 48 patients with interrupted flow, RA pressure was >7 mm Hg in 45, and less than ≤7 mm Hg in 3 patients (two-sided p value 0.0001). The continuous DW signal

2019 American Journal of Cardiology

10. Bedside hand vein inspection for noninvasive central venous pressure assessment. (Abstract)

Bedside hand vein inspection for noninvasive central venous pressure assessment. Rapid estimates of the central venous pressure (CVP) can be helpful to administer early fluid therapy or to manage cardiac preload in intensive care units, operating rooms or emergency rooms in order to start and monitor an adequate medical therapy. Invasive CVP measurements have inherent and non-negligible complication rates as well as great expenditures. Several noninvasive methods of CVP measurements, like

2019 American Journal of Emergency Medicine

11. Cardiac output during exercise related to plasma atrial natriuretic peptide but not to central venous pressure in humans. Full Text available with Trip Pro

Cardiac output during exercise related to plasma atrial natriuretic peptide but not to central venous pressure in humans. What is the central question of this study? Is cardiac output during exercise dependent on central venous pressure? What is the main finding and its importance? The increase in cardiac output during both rowing and running is related to preload to the heart, as indicated by plasma atrial natriuretic peptide, but unrelated to central venous pressure. The results indicate (...) that in upright humans, central venous pressure reflects the gravitational influence on central venous blood rather than preload to the heart.We evaluated the increase in cardiac output (CO) during exercise in relationship to central venous pressure (CVP) and plasma arterial natriuretic peptide (ANP) as expressions of preload to the heart. Seven healthy subjects (four men; mean ± SD: age 26 ± 3 years, height 181± 8 cm and weight 76 ± 11 kg;) rested in sitting and standing positions (in randomized order

2019 Experimental physiology

12. Central venous pressure monitoring via peripherally or centrally inserted central catheters: a systematic review and meta-analysis. (Abstract)

Central venous pressure monitoring via peripherally or centrally inserted central catheters: a systematic review and meta-analysis. The central venous pressure (CVP) is the most commonly used static marker of preload for guiding fluid therapy in critically ill patients, though its usefulness remains controversial. Centrally inserted central catheters (CICCs) are the gold-standard devices for CVP monitoring but peripherally inserted central catheters (PICCs) may represent a valid alternative. We

2017 The journal of vascular access

13. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense

Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2013 PedsCCM Evidence-Based Journal Club

14. Central Venous Pressure (CVP) Changes do Not Predict Preload Unresponsiveness

Central Venous Pressure (CVP) Changes do Not Predict Preload Unresponsiveness Central Venous Pressure (CVP) Changes do Not Predict Preload Unresponsiveness - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Central Venous Pressure (CVP) Changes do Not Predict Preload Unresponsiveness The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03753672 Recruitment Status : Recruiting First Posted : November 27, 2018 Last Update Posted

2018 Clinical Trials

15. Pontos-Central Venous Pressure and Cardiac Surgery

Pontos-Central Venous Pressure and Cardiac Surgery Pontos-Central Venous Pressure and Cardiac Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pontos-Central Venous Pressure and Cardiac Surgery (...) Details Study Description Go to Brief Summary: Recent studies indicated the central venous pressure (CVP) as a prognostic marker. Therefore, we retrospectively analyzed the CVP on admission to the intensive care unit (ICU) in cardiac surgery patients regarding its prognostic value for morbidity and mortality. Condition or disease Central Venous Pressure Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 5945 participants Observational Model: Cohort

2018 Clinical Trials

16. Controlled Low Central Venous Pressure Combined With Hilar Block in Laparoscopic Hepatectomy

Controlled Low Central Venous Pressure Combined With Hilar Block in Laparoscopic Hepatectomy Controlled Low Central Venous Pressure Combined With Hilar Block in Laparoscopic Hepatectomy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Controlled Low Central Venous Pressure Combined With Hilar Block in Laparoscopic Hepatectomy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03422913 Recruitment Status : Recruiting First Posted

2018 Clinical Trials

17. Should we measure the central venous pressure to guide fluid management? Ten answers to 10 questions Full Text available with Trip Pro

Should we measure the central venous pressure to guide fluid management? Ten answers to 10 questions 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.

2018 Critical Care

18. Utility of central venous pressure measurement in renal transplantation: Is it evidence based? Full Text available with Trip Pro

Utility of central venous pressure measurement in renal transplantation: Is it evidence based? Adequate intravenous fluid therapy is essential in renal transplant recipients to ensure a good allograft perfusion. Central venous pressure (CVP) has been considered the cornerstone to guide the fluid therapy for decades; it was the only available simple tool worldwide. However, the revolutionary advances in assessing the dynamic preload variables together with the availability of new equipment (...) evaluating the utility of central venous pressure measurement. Although lager well-designed studies are still required to consolidate the role of new techniques in the field of renal transplantation, we can confidently declare that the new techniques have the advantages of providing more accurate haemodynamic assessment, which results in a better patient outcome.

2018 World journal of transplantation

19. A Comparison between the Bedside Sonographic Measurements of the Inferior Vena Cava Indices and the Central Venous Pressure While Assessing the Decreased Intravascular Volume in Children Full Text available with Trip Pro

A Comparison between the Bedside Sonographic Measurements of the Inferior Vena Cava Indices and the Central Venous Pressure While Assessing the Decreased Intravascular Volume in Children Hemodynamic monitoring is an essential part in the treatment of critically ill patients. Establishment of intravascular volume and creation of a normal systemic perfusion are the most important part to reduce the risk of organ failure and mortality. This study aimed to determine the correlation between (...) the inferior vena cava (IVC) sonographic indices and the central venous pressure (CVP) to provide a useful guide for noninvasive intravascular volume status assessment in children.Target sample of children who were admitted to the pediatric critical care unit and required CVP monitoring were enrolled in this study. The collapsibility index (CI) and IVC/aorta (AO) ratio, from bedside ultrasonography measurement of the IVC, were calculated.Of the 70 participants, 22 patients (31.4%) revealed a CVP of 8 mm/Hg

2018 Advanced biomedical research

20. Tricuspid annular plane systolic excursion and central venous pressure in mechanically ventilated critically ill patients Full Text available with Trip Pro

Tricuspid annular plane systolic excursion and central venous pressure in mechanically ventilated critically ill patients The tricuspid annular plane systolic excursion (TAPSE) is commonly recommended for estimating the right ventricular systolic function. The central venous pressure (CVP), which is determined by venous return and right heart function, was found to be associated with right ventricular outflow fractional shortening. This study thus aimed to investigate the relationship between

2018 Cardiovascular ultrasound

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