1. Intraoperative peripherally inserted central venous catheter central venous pressure monitoring in abdominal aortic aneurysm reconstruction
- Author
-
Jeff T. Mueller, Deron J. Tessier, Joel S. Larson, Elisabeth C. McLemore, Moharned Y. Rady, William M. Stone, Bhavesh M. Patel, and Richard J. Fowl
- Subjects
Male ,medicine.medical_specialty ,Catheterization, Central Venous ,Time Factors ,Central Venous Pressure ,medicine.medical_treatment ,Pilot Projects ,Aortic aneurysm ,Monitoring, Intraoperative ,Catheterization, Peripheral ,Medicine ,Humans ,Prospective Studies ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Central venous pressure ,General Medicine ,Perioperative ,medicine.disease ,Abdominal aortic aneurysm ,Preload ,Elective Surgical Procedures ,Catheterization, Swan-Ganz ,Surgery ,Female ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Elective Surgical Procedure ,Vascular Surgical Procedures ,Central venous catheter ,Abdominal surgery ,Aortic Aneurysm, Abdominal - Abstract
Numerous studies have found no clinically significant benefit to the perioperative use of pulmonary artery catheters (PACs), and peripherally inserted central venous catheters (PICCs) have been reported to measure central venous pressure (CVP) accurately. The objective of this study was to determine whether the dynamic shifts in preload associated with elective reconstruction of abdominal aortic aneurysms (AAAs) are accurately reflected by CVP measurements from open-ended PICCs compared to CVP measurements from concomitant indwelling PACs. This is a retrospective review of prospectively collected data. PICCs and PACs were placed preoperatively in five patients undergoing elective AAA reconstruction. CVP measurements were recorded every 15 min during the operation. Bland-Altman statistical analysis was used to determine the degree of agreement in data collected by the two measurement devices. Seventy-three paired measurements of CVP from concomitant indwelling PICCs and PACs obtained from five patients undergoing elective AAA reconstruction revealed PICC measurements to be higher than PAC measurements by 0.6 mm Hg (overall correlation coefficient 0.92). The difference between the two measurement devices was expected to be
- Published
- 2006