Abstract
Purpose
To determine whether central venous pressure at the common iliac vein reflects right atrial pressure in adult patients.
Methods
In this prospective, non-blinded study 26 mechanically-ventilated adult patients were studied. Simultaneous pressure readings were obtained from the right atrium (TCVP) and the common iliac vein (ACVP).
Results
There was a correlation between TCVP and ACVP (r = 0.987;P < 0.0001). The mean difference between TCVP and ACVP was 0.93 mm Hg. And the limits of agreement were:-1.93 to 1.77 mm Hg.
Conclusion
Venous pressure recorded from the common iliac vein reflects that in the right atrium. Adopting a femoral route for central venous pressure measurement may avoid some of the complications associated with the subclavian route.
Résumé
Objectif
Déterminer si la pression veineuse centrale à la veine iliaque commune correspond à la pression auriculaire droite chez des patients adultes.
Méthodes
Létude prospective et ouverte a porté sur 26 patients adultes, sous ventilation mécanique. Des relevés de pression simultanés ont été obtenus de l’oreillette droite (PVCT) et de la veine iliaque commune (PVCA).
Résultats
Il y avait une corrélation entre la PVCT et la PVCA (r = 0,987;P < 0,0001). La différence moyenne entre PVCT et PVCA était de 0,93 mmHg et les limites de l’intervalle de confiance étaient de -1,93 à 1,77 mmHg.
Conclusion
La pression veineuse enregistrée à la veine iliaque commune correspond à celle de l’oreillette droite. En adoptant la voie fémorale pour mesurer la pression veineuse centrale, on peut éviter certaines complications associées à la voie sous-clavière.
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Alzeer, A., Arora, S., Ansari, Z. et al. Central venous pressure from common iliac vein reflects right atrial pressure. Can J Anaesth 45, 798–801 (1998). https://doi.org/10.1007/BF03012153
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DOI: https://doi.org/10.1007/BF03012153