Document Detail


Influence of infusion flow rates on central venous pressure measurements through multi-lumen central venous catheters in intensive care.
MedLine Citation:
PMID:  16477417     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the influence on central venous pressure (CVP), measured at the distal port, of crystalloid infusions administered through the proximal port(s) of a central venous multi-lumen catheter. PATIENTS: Thirty-one intensive care patients. INTERVENTIONS: CVP was measured at the distal port of a multi-lumen catheter inserted in the subclavian or internal jugular vein. Using the proximal port(s), saline (0.9%) was infused at rates varying from 2 ml/h to 14,340 ml/h. RESULTS: CVP measured before the infusion and during infusion (after 30 s to 1 min) were not significantly different. Positive pressure ventilation with PEEP (5.6 +/- 2.5 cmH(2)O) and/or norepinephrine infusion (0.25 +/- 0.21 microg kg(-1) min(-1)) did not produce any significant change in CVP during infusion. CONCLUSION: The administration of crystalloids at different flow rates through the proximal port(s) of a multi-lumen catheter placed in the superior vena cava does not affect CVP measurement at the distal port, even in mechanically ventilated patients or patients receiving vasopressors.
Authors:
Karim Lakhal; Martine Ferrandière; François Lagarrigue; Colette Mercier; Jacques Fusciardi; Marc Laffon
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Publication Detail:
Type:  Journal Article     Date:  2006-02-14
Journal Detail:
Title:  Intensive care medicine     Volume:  32     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-23     Completed Date:  2007-10-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  460-3     Citation Subset:  IM    
Affiliation:
CHU Tours, Groupement d'Anesthésiologie Réanimation, 37000 Tours, France. lakhal_karim@yahoo.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Catheterization, Central Venous / instrumentation*
Central Venous Pressure / physiology*
France
Humans
Infusions, Parenteral / methods*
Intensive Care Units*
Middle Aged
Vascular Capacitance

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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