Femoral approach vs subclavian in measurement of central venous pressure in adult patients

Thirty patients with stable cardiovascular condition were included in this study. All the patients had already central venous catheter [either subclavian or internal jugular] in situ for measuring the SVCP. For all the patients, another catheter of the same type [multiple-lumen, 20 cm long] was inserted into the common iliac vein via the femoral route. The SVCP and CIVP were simultaneously measured at six-hour interval for 24 hours. It was concluded that CIVP measured by a 20 cm catheter placed through the femoral route can predict accurately the central venous pressure in adult patients [with normal intra-abdominal pressure] and it can be taken as a reliable alternative to SVCP and major complications