Correlation Between Central Venous Pressure and Peripheral Venous Pressure with Passive Leg Raise in Patients on Mechanical Ventilation

Overview

Journal Indian J Crit Care Med

Specialty Critical Care

Date 2016 Jan 6

PMID 26730115

Citations 3

Authors

Dharmendra Kumar

Syed Moied Ahmed

Shahna Ali

Utpal Ray

Ankur Varshney

Kashmiri Doley

Affiliations

Soon will be listed here.

Abstract

Background: Central venous pressure (CVP) assesses the volume status of patients. However, this technique is not without complications. We, therefore, measured peripheral venous pressure (PVP) to see whether it can replace CVP.

Aims: To evaluate the correlation and agreement between CVP and PVP after passive leg raise (PLR) in critically ill patients on mechanical ventilation.

Setting And Design: Prospective observational study in Intensive Care Unit.

Methods: Fifty critically ill patients on mechanical ventilation were included in the study. CVP and PVP measurements were taken using a water column manometer. Measurements were taken in the supine position and subsequently after a PLR of 45°.

Statistical Analysis: Pearson's correlation and Bland-Altman's analysis.

Results: This study showed a fair correlation between CVP and PVP after a PLR of 45° (correlation coefficient, r = 0.479; P = 0.0004) when the CVP was <10 cmH2O. However, the correlation was good when the CVP was >10 cmH2O. Bland-Altman analysis showed 95% limits of agreement to be -2.912-9.472.

Conclusion: PVP can replace CVP for guiding fluid therapy in critically ill patients.

Citing Articles

High positive end expiratory pressure levels affect hemodynamics in elderly patients with hypertension admitted to the intensive care unit: a prospective cohort study.

Zhou L, Cai G, Xu Z, Weng Q, Ye Q, Chen C BMC Pulm Med. 2019; 19(1):224.

PMID: 31775701 PMC: 6882021. DOI: 10.1186/s12890-019-0965-9.

Comparison between noninvasive measurement of central venous pressure using near infrared spectroscopy with an invasive central venous pressure monitoring in cardiac surgical Intensive Care Unit.

Sathish N, Singh N, Nagaraja P, Sarala B, Prabhushankar C, Dhananjaya M Ann Card Anaesth. 2016; 19(3):405-9.

PMID: 27397443 PMC: 4971967. DOI: 10.4103/0971-9784.185520.

Central venous pressure and peripheral venous pressure, however correlated are still both in the gray-area.

Pissot M, Salvadori A, Kearns K, Dubost C Indian J Crit Care Med. 2016; 20(1):58-9.

PMID: 26955221 PMC: 4759999. DOI: 10.4103/0972-5229.173698.

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