Correlation of peripheral venous pressure and central venous pressure in surgical patients Journal Article


Authors: Amar, D.; Melendez, J. A.; Zhang, H.; Dobres, C.; Leung, D. H. Y.; Padilla, R. E.
Article Title: Correlation of peripheral venous pressure and central venous pressure in surgical patients
Abstract: Objective: To determine the degree of agreement between central venous pressure (CVP) and peripheral venous pressure (PVP) in surgical patients. Design: Prospective study. Setting: University hospital. Participants: Patients without cardiac dysfunction undergoing major elective noncardiac surgery (n = 150). Measurements and Main 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 ± 2to 11 ± 2 mmHg and 4 ± 2 to 9 ± 2mmHg. Conclusion: 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. © 2001 by W.B. Saunders Company.
Keywords: adult; controlled study; aged; middle aged; major clinical study; postoperative period; postoperative care; prospective studies; patient monitoring; surgery; blood pressure; perioperative period; monitoring, intraoperative; respiratory mechanics; artificial ventilation; heart function; central venous pressure; regional blood flow; surgical patient; venous pressure; supine position; humans; human; male; female; priority journal; article; peripheral vein; positive-pressure respiration; peripheral venous pressure
Journal Title: Journal of Cardiothoracic and Vascular Anesthesia
Volume: 15
Issue: 1
ISSN: 1053-0770
Publisher: Elsevier Inc.  
Date Published: 2001-02-01
Start Page: 40
End Page: 43
Language: English
DOI: 10.1053/jcan.2001.20271
PUBMED: 11254838
PROVIDER: scopus
DOI/URL:
Notes: Presented in part at the annual meeting of the American Society of Anesthesiologists, Orlando, FL, October 18-22, 1999; Export Date: 21 May 2015 -- Source: Scopus
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MSK Authors
  1. David Amar
    135 Amar
  2. Roger E Padilla
    11 Padilla
  3. Denis Heng Yan Leung
    114 Leung
  4. Hao Zhang
    60 Zhang
  5. Catherine M Dobres
    2 Dobres