Accuracy of totally implanted ports, tunnelled, single- and multiple-lumen central venous catheters for measurement of central venous pressure View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-11-23

AUTHORS

François Blot, Agnès Laplanche, Bruno Raynard, Nathalie Germann, Sami Antoun, Gérard Nitenberg

ABSTRACT

. Objective: To verify the accuracy of totally implanted ports, tunnelled central venous catheters (CVC), widely used in cancer patients, and multi-lumen catheters, used in intensive care units (ICUs), in measuring central venous pressure (CVP), using right atrial pressure (RAP) measured in a Swan-Ganz catheter as the reference standard. Design: A prospective study, over a 10-month period. Setting: A medical-surgical ICU in a comprehensive cancer centre. Patients and participants: Patients who had both (1) a Swan-Ganz catheter and (2) either a tunnelled catheter, a single or a multi-lumen catheter, or a totally implanted port. Interventions: RAP and CVP were measured simultaneously in each patient. Measurements and results: Fifty-six pairs of RAP-CVP measurements were performed in 35 patients: 6 tunnelled catheters, 6 non-tunnelled single-lumen catheters, 26 multiple-lumen catheters and 18 totally implanted ports were studied. RAP measured in the Swan-Ganz catheter and CVP measured in the CVC were strongly correlated (r=0.94, p<0.01), whatever the type of catheter studied. The mean difference between RAP and CVP was –0.39±1.73 (SD) mmHg. In 51 cases (91%), the difference was within the limits of agreement (–3.78 to 3.00 mmHg, Bland and Altman method). For the five cases with a difference of 4 mmHg (three totally implanted ports, one double- and one triple-lumen catheter), CVP was greater than RAP. Conclusions: CVP can be accurately measured in totally implanted ports, tunnelled or non-tunnelled single-lumen and multiple-lumen catheters. When the difference exceeds the limit of agreement, the discrepancy between the two measurements has limited significance in most cases. More... »

PAGES

1837-1842

References to SciGraph publications

  • 1998-07. More respect for the CVP in INTENSIVE CARE MEDICINE
  • 1995-04. Right heart catheterization at bedside: A critical view in INTENSIVE CARE MEDICINE
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    http://scigraph.springernature.com/pub.10.1007/s001340000705

    DOI

    http://dx.doi.org/10.1007/s001340000705

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1037914090

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/11271093


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