Central Venous Pressure: Uses and Limitations

  • T. Smith
  • R. M. Grounds
  • A. Rhodes
Part of the Update in Intensive Care and Emergency Medicine book series (volume 42)


Central Venous Pressure Tricuspid Valve Pulmonary Capillary Wedge Pressure Central Venous Access Pulmonary Artery Occlusion Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Boldt J, Lenz M, Kumle B, et al (1998) Volume replacement strategies on ICUs: results from a postal survey. Intensive Care Med 1998;24:147–151.CrossRefGoogle Scholar
  2. 2.
    Patterson SW, Piper H, Starling EH (1914) The regulation of the heart beat. J Physiol (Lond) 48:465–513Google Scholar
  3. 3.
    Patterson SW, Starling EH (1914) On the mechanical factors which determine the output of the ventricles. J Physiol (Lond) 48:357–379Google Scholar
  4. 4.
    Amoroso P, Greenwood RN (1989) Posture and central venous pressure measurement in circulatory volume depletion. Lancet 2:258–260CrossRefPubMedGoogle Scholar
  5. 5.
    Frank O (1895) Zur Dynamik des Herzmuskels. Z Biol 32:370–437Google Scholar
  6. 6.
    Ishihara H, Suzuki A, Okawa H, et al (2000) The initial distribution volume of glucose rather than indocyanine green derived plasma volume is correlated with cardiac output following major surgery. Intensive Care Med 26:1441–1448CrossRefPubMedGoogle Scholar
  7. 7.
    Michard F, Alaya S, Zarka V, et al (2003) Global end diastolic function as an indicator of cardiac preload in patients with septic shock. Chest 124:1900–1908CrossRefPubMedGoogle Scholar
  8. 8.
    Sakka SG, Bredle DL, Reinhart K, et al (1999) Comparison between intrathoracic blood volume and cardiac filling pressures in the early phase of hemodynamic instability of patients with sepsis or septic shock. J Crit Care 14:78–83CrossRefPubMedGoogle Scholar
  9. 9.
    Brock H, Gabriel C, Bibl D, et al (2002) Monitoring intravascular volumes for postoperative volume therapy. Eur J Anaesthesiol 19:288–294PubMedGoogle Scholar
  10. 10.
    Gödje O, Peyerl M, Seebauer T, et al (1998) Central venous pressure, pulmonary capillary wedge pressure and intrathoracic blood volume as preload indicators in cardiac surgery patients. Eur J Cardiothorac Surg 13:533–540CrossRefPubMedGoogle Scholar
  11. 11.
    Hinder F, Poelaert JI, Schmidt C, et al (1998) Assessment of cardiovascular volume status by transoesophageal echocardiography and dye dilution during cardiac surgery. Eur J Anaesthesiol 15:633–640PubMedGoogle Scholar
  12. 12.
    Diebel LN, Wilson RF, Tagett MG, et al (1992) End-diastolic volume: a better indicator of preload in the critically ill. Arch Surg 127:817–822PubMedGoogle Scholar
  13. 13.
    Buhre W, Weyland A, Schorn B, et al (1999) Changes in central venous pressure and pulmonary capillary wedge pressure do not indicate changes in right and left heart volume in patients undergoing coronary artery bypass surgery. Eur J Anaesthesiol 16:11–17CrossRefPubMedGoogle Scholar
  14. 14.
    Samii K, Conseiller C, Viars P (1976) Central venous pressure and pulmonary wedge pressure: a comparative study in anaesthetised surgical patients. Arch Surg 111:1122–1125PubMedGoogle Scholar
  15. 15.
    Bolte AC, Dekker GA, van Eyck J, et al (2000) Lack of agreement between central venous pressure and pulmonary capillary wedge pressure in preeclampsia. Hypertens Pregnancy 19:261–271CrossRefPubMedGoogle Scholar
  16. 16.
    Magder S (1998) More respect for the CVP. Intensive Care Med 24:651–653CrossRefPubMedGoogle Scholar
  17. 17.
    Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU Patients. Chest 121:2000–2008CrossRefPubMedGoogle Scholar
  18. 18.
    Calvin JF, Driedger AA, Sibbald WJ (1981) The hemodynamic effect of rapid fluid infusion in critically ill patients. Surgery 90:61–76PubMedGoogle Scholar
  19. 19.
    Reuse C, Vincent JL, Pinsky MR (1990) Measurements of right ventricular fluid volumes during fluid challenge. Chest 98:1450–1454PubMedGoogle Scholar
  20. 20.
    Michard F, Boussat S, Chemla D, et al (2000) Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 162:134–138PubMedGoogle Scholar
  21. 21.
    Schneider AJ, Teule GJJ, Groenveld ABJ, et al (1998) Biventricular performance duringvolume loading in patients with early septic shock, with emphasis on the right ventricle: a combined hemodynamic and radionuclide study. Am Heart J 116:103–112CrossRefGoogle Scholar
  22. 22.
    Wagner JG, Leatherman JW (1998) Right ventricular end-diastolic volume as a predictor of the hemodynamic response to a fluid challenge. Chest 113:1048–1054PubMedGoogle Scholar
  23. 23.
    Magder S, Georgiadis G, Cheong T (1992) Respiratory variations in right atrial pressure predict the response to fluid challenge. J Crit Care 7:76–85.CrossRefGoogle Scholar
  24. 24.
    Magder S, Lagondis D (1999) Effectiveness of albumin versus normal saline as a test of volume responsiveness in post cardiac surgery patients. J Crit Care 14:164–171CrossRefPubMedGoogle Scholar
  25. 25.
    Magder S, De Varennes B (1998) Clinical death and the measurement of stressed vascular volume. Crit Care Med 26:1061–1064CrossRefPubMedGoogle Scholar
  26. 26.
    Alrawi SJ, Miranda LS, Cunningham Jr JN, et al (2002) Correlation of blood volume values and pulmonary artery catheter measurements. Saudi Med J 23:1367–1372PubMedGoogle Scholar
  27. 27.
    Shippy CR, Appel PL, Shoemaker WC (1984) Reliability of clinical monitoring to assess blood volume in critically ill patients. Crit Care Med 12:107–112PubMedGoogle Scholar
  28. 28.
    Klaus S, Eichler W, Heringlake M, et al (2002) Assessment of fluid balance by measurement of skin tissue thickness during clinical anaesthesia. Clin Physiol Funct Imaging 22:197–201CrossRefPubMedGoogle Scholar
  29. 29.
    Venn R, Steele A, Richardson P, et al (2002) Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. Br J Anaesth 88:65–71CrossRefPubMedGoogle Scholar
  30. 30.
    Thomsen HS, Lokkegaard H, Munck O (1987) Influence of normal central venous pressure on onset of function in renal allografts. Scand J Urol Nephrol 21:143–145PubMedGoogle Scholar
  31. 31.
    Rady MY, Ryan T, Starr NJ (1998) Perioperative determinants of morbidity and mortality in elderly patients undergoing cardiac surgery. Crit Care Med 26:225–235CrossRefPubMedGoogle Scholar
  32. 32.
    Jellinek H, Krafft P, Fitzgerald R, et al (2000) Right atrial pressure predicts hemodynamic response to apneic positive airway pressure. Crit Care Med 28:672–678CrossRefPubMedGoogle Scholar
  33. 33.
    Magder S, Lagondis D, Erice F (2001) The use of respiratory variations in right atrial pressure to predict the cardiac output response to PEEP. J Crit Care 16:108–114CrossRefPubMedGoogle Scholar
  34. 34.
    Pearson KS, Gomez MN, Moyers JR, et al (1989) A cost/benefit analysis of randomized invasive monitoring for patients undergoing cardiac surgery. Anesth Analg 69:336–341PubMedGoogle Scholar
  35. 35.
    Stewart RD, Psyhojos T, Lahey SJ, et al (1998) Central venous catheter use in low-risk coronary artery bypass grafting. Ann Thorac Surg 66:1306–1311CrossRefPubMedGoogle Scholar
  36. 36.
    Shoemaker WC, Kram HB, Appel PL, et al (1990) The efficacy of central venous and pulmonary artery catheters and therapy based upon them in reducing mortality and morbidity. Arch Surg 125:1332–1337PubMedGoogle Scholar
  37. 37.
    Rivers E, Nguyen B, Havstad S, et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377CrossRefPubMedGoogle Scholar
  38. 38.
    Sznajder JI, Zveibil FR, Bitterman H, et al (1986) Failure and complication rates by three percutaneous approaches. Arch Intern Med 146:259–261CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2005

Authors and Affiliations

  • T. Smith
  • R. M. Grounds
  • A. Rhodes

There are no affiliations available

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