Comparative Study of Venous Pressure Obtained From Central and Peripheral Venous Catheter

Authors

  • Nayani Radhakrishna Neuroanaesthesiologist, Department of Anaesthesiology and Critical Care, R & R Hospital, New Delhi
  • Shalendra Singh Neuroanaesthesiologist & Critical care specialist, AFMC, Pune
  • Ritesh Sharma Assistant Professor, Command Hospital (EC), Kolkota, West Bengal
  • Varun Bajaj Senior Resident, R & R Hospital, New Delhi
  • Priya Taank Department of Ophthalmology, CH(SC), Pune

DOI:

https://doi.org/10.7439/ijbr.v10i1.5000

Abstract

Background: Venous pressure can be measured by placing Central venous catheter (CVC) and Peripheral venous catheter (PVC). Venous pressure recording obtained from CVC is called central venous pressure (CVP) and that obtained from PVC is called peripheral venous pressure (PVP). PVC is easy to place and free of complication and sometimes preferable in some cases. CVC though used commonly is not free from complications. We investigate the feasibility and accuracy of measuring PVP and precise correlation between PVP and CVP. Methods : In this prospective, observational study, a total of 2522 readings of CVP and PVP were obtained from 60 patients in varying positions before and after 500 ml of fluid challenge intraoperatively. Results: Throughout the study period, PVP persistently showed a positive trend with a significantly higher value than CVP (P 0.001). Correlation for the entire data showed a significant consistency of CVP-PVP difference [r = 0.89 (95% CI: 0.87 to 0.90); p 0.0001)]. Tests of correlation revealed that whenever CVP trends changed rapidly so did PVP trends, and in synchrony with each other. The results revealed strong correlation between CVP and PVP (r2=0.79). Conclusion: Our study suggests that CVP and PVP change similarly due to changes in intravascular volume in a given patient. The CVP-PVP gradient is not similar between patients; therefore it is not possible to predict CVP from PVP unless the gradient in the individual patient is known beforehand.

Downloads

Download data is not yet available.

References

Miller R, Cardiovascular monitoring Miller's Anesthesia, 6th edn, 2005 Elsevier pp 1287-1300.

Munis JR, Bhatia S, Lozada LJ. Peripheral venous pressure as a hemodynamic variable in neurosurgical patients. Anesth Analg 2001; 92:172–179.

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; 31:34–39.

Desjardins R, Denault AY, Belisle S, Carrier M, Babin D, Levesque S, Martineau R. Can peripheral venous pressure be interchangeable with central venous pressure in patients undergoing cardiac surgery? Intensive Care Med 2004; 30: 627–632.

Tobias JD, Johnson JO. Measurement of central venous pressure from a peripheral vein in infants and children. Pediatr Emerg Care 2003; 19: 428–430.

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 Anaesth 2001; 15: 40-43.

Downloads

Published

2019-01-19

Issue

Vol. 10 No. 1 (2019): Jan

Section

Original Research Articles

License

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
  • An author must submit Copyright form After acceptance of the article.

How to Cite

1.
Comparative Study of Venous Pressure Obtained From Central and Peripheral Venous Catheter. Int Jour of Biomed Res [Internet]. 2019 Jan. 19 [cited 2025 Mar. 12];10(1):e5000. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/5000