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저혈량 상태인 관상동맥질환 환자에서 중심정맥압을 대신할 수 있는 혈역학적 감시항목으로서 말초정맥압의 가능성

Other Titles
 The Potential of Peripheral Venous Pressure as a Substitutional Hemodynamic Parameter of Central Venous Pressure in Hypovolemic Patients with Coronary Artery Disease 
Authors
 이종화  ;  곽영란  ;  방서욱  ;  이강훈  ;  김승호  ;  신혜란  ;  오영준 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.47(1) : 69-74, 2004 
Journal Title
 KOREAN JOURNAL OF ANESTHESIOLOGY 
ISSN
 2005-6419 
Issue Date
2004
Keywords
central venous pressure ; coronary artery disease ; hypovolemia ; peripheral venous pressure
Abstract
BACKGROUND: Peripheral venous pressure (PVP) was known to have significant correlation with central venous pressure (CVP) in patients with normal and abnormal cardiac function. The purpose of this study is to evaluate the possibility of PVP as a substitute of CVP for volume status monitoring. METHODS: 41 hypovolemic patients with pulmonary capillary wedge pressure (PCWP) below 10 mmHg, scheduled for elective coronary artery bypass graft were included. CVP and PVP were measured from proximal port of pulmonary artery (PA) catheter and antecubital vein, respectively. Each was connected to the same monitoring system by rigid tubes of same length. Measurements were performed as follows: after PA catheter insertion; after increasing PCWP above 10 mmHg by I.V. fluid infusion; and after anesthesia induction. Hemodynamic variables were recorded at end-expiration after stabilizing for 5 10 minutes. For statistical analysis, Bland and Altman plot was created. RESULTS: The overall mean bias between CVP and PVP was 0.7 mmHg (95% confidence interval, 1 0.5). Limits of agreement of mean bias was 2.1 3.6 mmHg. 118 out of 121 PVP measurements were within the ranges of CVP ± 3 mmHg (98%). The direction of CVP change was predicted by PVP in 68%. However, larger changes of PVP (≥ or = 2 mmHg) predicted the changes of CVP with increased accuracy (90%). There were only 5 cases that CVP and PVP had changed in opposite direction. CONCLUSIONS: In conclusion, PVP has a potential to be a substitutional hemodynamic parameter of CVP.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Kim, Seung Ho(김승호)
Bang, Sou Ouk(방서욱)
Shin, Hye Ran(신혜란)
Oh, Young Jun(오영준) ORCID logo https://orcid.org/0000-0002-6258-5695
Lee, Jong Wha(이종화)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112248
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