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Estimation of central venous pressure by measurement of proximal axillary venous pressure using a “half‐way” catheter

 

作者: S. ‐E. RICKSTEN,   A. MEDEGÅRD,   I. CURELARU,   B. GUSTAVSSON,   L. E. LINDER,  

 

期刊: Acta Anaesthesiologica Scandinavica  (WILEY Available online 1986)
卷期: Volume 30, issue 1  

页码: 13-17

 

ISSN:0001-5172

 

年代: 1986

 

DOI:10.1111/j.1399-6576.1986.tb02358.x

 

出版商: Blackwell Publishing Ltd

 

关键词: Central venous pressure;“half‐way” venous catheters

 

数据来源: WILEY

 

摘要:

The pressure in the proximal axillary vein (AVP) was compared with central venous pressure (CVP) in eight patients during and after elective abdominal surgery. Both pressures were recorded from soft, elastic, polyurethane catheters inserted in the basilic or cephalic veins (“half‐way” catheters), punctured at the fossa cubiti (AVP), and via the right jugular vein (CVP). The AVP and CVP were recorded simultaneously using hydrostatic, conventional disposable venous pressure measurement sets. The measurements were performed during intermittent positive pressure ventilation with positive end‐expiratory pressure from 0 to 7.5 cmH2O (0‐0.74 kPa), as well as during spontaneous breathing. During both controlled and spontaneous respiration, small mean differences (0.2‐1.0 cmH2O) (0.02‐0.1 kPa), and a highly significant (P<0.001) positive correlation between CVP‐ and AVP‐values were found. An increase of 1 cmH2O (0.10 kPa) in the CVP was associated with an increment of practically identical order (0.99‐1.04 cmH2O) (0.10‐0.11 kPa) in the AVP. The results suggest that monitoring of the AVP by a basilic “half‐way” catheter produces diagnostic information similar to that from the measurement of the CVP from subclavian, external or internal jugular, as well as “long‐way” brachial catheter, with no risk of the major mechanical complications which accompan

 

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