Document Detail


Establishing normal values of central venous pressure in very low birth weight infants.
MedLine Citation:
PMID:  17906394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this paper is to establish a reference range of central venous pressure (CVP) values during the first 4 days of life in very low birth weight (VLBW) infants. A prospective observational study with continuous monitoring of CVP in VLBW newborns who had an umbilical venous catheter (UVC) positioned in or near the right atrium is conducted. All UVCs were inserted as part of normal care of the infants. The mean CVP (mCVP) was monitored for 72 h from recruitment, or until the UVC was removed. The mean mCVP was calculated for each infant. The median of the mean mCVPs was then calculated. Data were analysed in 17 infants. The median gestational age was 27 weeks and median birth weight was 940 g. Sixteen were mechanically ventilated and of these, six also received continuous positive airway pressure (CPAP) during the study period. One infant received no respiratory support. One infant died during the study period. The lowest mean mCVP was 2.8 mmHg and the highest was 13.9 mmHg. The median mean mCVP was 4.9 mmHg (interquartile range 4.4-6.1). The normal range of CVP in VLBW infants during the first 4 days of life is wider than previously suggested.
Authors:
Garry Donald Trevor Inglis; Kimble Robert Dunster; Mark William Davies
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Publication Detail:
Type:  Journal Article     Date:  2007-09-28
Journal Detail:
Title:  Physiological measurement     Volume:  28     ISSN:  0967-3334     ISO Abbreviation:  Physiol Meas     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-01     Completed Date:  2007-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9306921     Medline TA:  Physiol Meas     Country:  England    
Other Details:
Languages:  eng     Pagination:  1283-91     Citation Subset:  IM    
Affiliation:
Grantley Stable Neonatal Unit, Royal Brisbane & Women's Hospital, Brisbane, Australia.
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MeSH Terms
Descriptor/Qualifier:
Central Venous Pressure / physiology*
Female
Gestational Age
Humans
Infant, Newborn
Infant, Very Low Birth Weight / physiology*
Male
Reference Values
Respiration

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