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VOLUME 19 , ISSUE 4 ( 2015 ) > List of Articles

Peripheral venous pressure as a reliable predictor for monitoring central venous pressure in patients with burns

Lulu Sherif, Vikas S. Joshi, Anjali Ollapally, Prithi Jain, Kishan Shetty, Karl Sa Ribeiro

Keywords : Burns, central venous pressure, monitoring, peripheral venous pressure

Citation Information : Sherif L, Joshi VS, Ollapally A, Jain P, Shetty K, Ribeiro KS. Peripheral venous pressure as a reliable predictor for monitoring central venous pressure in patients with burns. Indian J Crit Care Med 2015; 19 (4):199-202.

DOI: 10.4103/0972-5229.154548

License: CC BY-ND 3.0

Published Online: 00-04-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Optimizing cardiovascular function to ensure adequate tissue oxygen delivery is a key objective in the care of critically ill patients with burns. Hemodynamic monitoring may be necessary to optimize resuscitation in serious burn patients with reasonable safety. Invasive central venous pressure (CVP) monitoring has become the corner stone of hemodynamic monitoring in patients with burns but is associated with inherent risks and technical difficulties. Previous studies on perioperative patients have shown that measurement of peripheral venous pressure (PVP) is a less invasive and cost-effective procedure and can reliably predict CVP. Objective: The aim of the present prospective clinical study was to determine whether a reliable association exists between changes in CVP and PVP over a long period in patients admitted to the Burns Intensive Care Unit (BICU). Subjects and Methods: The CVP and PVP were measured simultaneously hourly in 30 burns patients in the BICU up to 10 consecutive hours. The predictability of CVP by monitoring PVP was tested by applying the linear regression formula and also using the Bland-Altman plots of repeated measures to evaluate the agreement between CVP and PVP. Results: The regression formula revealed a reliable and significant association between CVP and PVP. The overall mean difference between CVP and PVP was 1.628 ± 0.84 mmHg (P < 0.001). The Bland-Altman diagram also showed a perfect agreement between the two pressures throughout the 10 h period. Conclusion: Peripheral venous pressure measured from a peripheral intravenous catheter in burns patients is a reliable estimation of CVP, and its changes have good concordance with CVP over a long period of time.


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  1. Wardhan R, Shelley K. Peripheral venous pressure waveform. Curr Opin Anaesthesiol 2009;22:814-21.
  2. Weingarten TN, Sprung J, Munis JR. Peripheral venous pressure as a measure of venous compliance during pheochromocytoma resection. Anesth Analg 2004;99:1035-7.
  3. Charalambous C, Barker TA, Zipitis CS, Siddique I, Swindell R, Jackson R, et al. Comparison of peripheral and central venous pressures in critically Ill patients. Anaesth Intensive Care 2003;31:34-9.
  4. He L, Guo Z, Chai J. Hemodynamic monitoring in 52 serious burn patients in ten years. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1999;15:117-9.
  5. Czermak C, Hartmann B, Scheele S, Germann G, Küntscher MV. Burn shock fluid resuscitation and hemodynamic monitoring. Chirurg 2004;75:599-604.
  6. Amar D, Melendez JA, Zhang H, Dobres C, Leung DH, Padilla RE. Correlation of peripheral venous pressure and central venous pressure in surgical patients. J Cardiothorac Vasc Anesth 2001;15:40-3.
  7. Munis JR, Bhatia S, Lozada LJ. Peripheral venous pressure as a hemodynamic variable in neurosurgical patients. Anesth Analg 2001;92:172-9.
  8. Anter AM, Bondok RS. Peripheral venous pressure is an alternative to central venous pressure in paediatric surgery patients. Acta Anaesthesiol Scand 2004;48:1101-4.
  9. Sahin A, Salman MA, Salman AE, Aypar U. Effect of catheter site on the agreement of peripheral and central venous pressure measurements in neurosurgical patients. J Clin Anesth 2005;17:348-52.
  10. Hoftman N, Braunfeld M, Hoftman G, Mahajan A. Peripheral venous pressure as a predictor of central venous pressure during orthotopic liver transplantation. J Clin Anesth 2006;18:251-5.
  11. Amoozgar H, Ajami GH, Borzuoee M, Amirghofran AA, Ebrahimi P. Peripheral venous pressure as a predictor of central venous pressure in continuous monitoring in children. Iran Red Crescent Med J 2011;13:342-5.
  12. Tugrul M, Camci E, Pembeci K, Al-Darsani A, Telci L. Relationship between peripheral and central venous pressures in different patient positions, catheter sizes, and insertion sites. J Cardiothorac Vasc Anesth 2004;18:446-50.
  13. Cave G, Harvey M. The difference between peripheral venous pressure and central venous pressure (CVP) decreases with increasing CVP. Eur J Anaesthesiol 2008;25:1037-40.
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