Correlation of peripheral venous pressure and central venous pressure in surgical patients.
OBJECTIVE
To determine the degree of agreement between central venous pressure (CVP) and peripheral venous pressure (PVP) in surgical patients.


METHODS
Prospective study.


METHODS
University hospital.


METHODS
Patients without cardiac dysfunction undergoing major elective noncardiac surgery (n = 150).


RESULTS
Simultaneous CVP and PVP measurements were obtained at random points in mechanically ventilated patients during surgery (n = 100) and in spontaneously ventilating patients in the postanesthesia care unit (n = 50). In a subset of 10 intraoperative patients, measurements were made before and after a 2-L fluid challenge. During surgery, PVP correlated highly to CVP (r = 0.86), and the bias (mean difference between CVP and PVP) was -1.6 +/- 1.7 mmHg (mean +/- SD). In the postanesthesia care unit, PVP also correlated highly to CVP (r = 0.88), and the bias was -2.2 +/- 1.9 (mean +/- SD). When adjusted by the average bias of -2, PVP predicted the observed CVP to within +/-3 mmHg in both populations of patients with 95% probability. In patients receiving a fluid challenge, PVP and CVP increased similarly from 6 +/- 2 to 11 +/- 2 mmHg and 4 +/- 2 to 9 +/- 2 mmHg.


CONCLUSIONS
Under the conditions of this study, PVP showed a consistent and high degree of agreement with CVP in the perioperative period in patients without significant cardiac dysfunction. PVP -2 was useful in predicting CVP over common clinical ranges of CVP. PVP is a rapid noninvasive tool to estimate volume status in surgical patients.
Department of Anesthesiology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
D
D
Amar
J A
JA
Melendez
H
H
Zhang
C
C
Dobres
D H
DH
Leung
R E
RE
Padilla
D000368:Aged; D001794:Blood Pressure / Q000502:physiology*; D002496:Central Venous Pressure / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011175:Positive-Pressure Respiration; D011182:Postoperative Care; D011446:Prospective Studies; D012039:Regional Blood Flow / Q000502:physiology; D015656:Respiratory Mechanics; D016683:Supine Position / Q000502:physiology