Should we stop using the determination of central venous pressure as a way to estimate cardiac preload? / Debemos abandonar la determinacion de la presion venosa central como medida de estimacionde la precarga cardiaca?
Colomb. med
;
43(2): 181-184, Apr. 2012. ilus
Article
Dans Anglais
| LILACS
| ID: lil-659350
ABSTRACT
The determination of the values of central venous pressure has long been used as a guideline for volumetric therapy in the resuscitation of the critical patient, but the performance of such parameter is currently being questioned as an effective measurement of cardiac preload. This has aroused great interest in the search for more accurate parameters to determine cardiac preload and a patients blood volume.Goals and Methodology:
Based on literature currently available, we aim to discuss the performance of central venous pressure as an effective parameter to determine cardiac preload.Results andConclusion:
Estimating variables such as end-diastolic ventricular area and global end-diastolic volume have a better performance than central venous pressure in determining cardiac preload. Despite the best performance of these devices, central venous pressure is still considered in our setting as the most practical and most commonly available way to assess the patients preload.Only dynamic variables such as pulse pressure change are superior in determining an individuals blood volume
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Volume sanguin
/
Pression veineuse centrale
Type d'étude:
Guide de pratique
langue:
Anglais
Texte intégral:
Colomb. med
Thème du journal:
Médicament
Année:
2012
Type:
Article
Pays d'affiliation:
Colombie
Institution/Pays d'affiliation:
Universidad del Cauca/CO
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