INTRODUCTION Central venous oxygen saturation and blood lactate are different indices of the adequacy of oxygen delivery to the oxygen needs. In pediatric cardiac surgery, lactate level and kinetics during and after cardiopulmonary bypass are associated with outcome variables. The aim of this study was to explore the hypothesis that the lowest central venous oxygen saturation and the peak lacta...

BACKGROUND Poor oxygenation might occur in transplanted lungs as a result of reperfusion injury and lack of lymphatic drainage. Low central venous and pulmonary capillary wedge pressures are advocated to reduce pulmonary edema and maximize oxygenation but might adversely affect cardiac index, circulation, and renal function. METHODS Histories, intensive care unit charts, and donor data on 118...

Persistent left superior vena cava is a congenital vascular anomaly, which is possibly arrhythmogenic and thrombogenic, rarely complicated with coronary sinus atresia. We treated a 42-year-old male with Hodgkin's lymphoma requiring central venous catheter placement for intensive chemotherapy. Persistent left superior vena cava was revealed after the insertion of the central venous catheter by t...

hemodynamic monitoring is needed in up to 58% of patients presented to the emergency department. central venous pressure (cvp) monitoring is generally useful to assess general volume status. there are several methods of cvp measurement, which can be categorized as invasive and non-invasive. cvp manometer and electronic transducer are among the invasive methods and direct observation, ultrasonog...

BACKGROUND Home parenteral nutrition is established as standard management for patients with chronic severe intestinal failure. Although the treatment is welcomed by many patients, there are psychological consequences of living with a central venous catheter and there are associated restrictions to the lives of patients on home parenteral nutrition. A subgroup of home parenteral nutrition patie...

Editor's Note A Simple Approach to Reducing Inappropriate Use of Central Venous Catheters Central venous catheters are commonly used in hospitalized patients.Many are not indicated, evidence of benefit is scant, andall putpatients at risk for thrombosis and infection. In this issue, McDonald and Lee1 describe a simple intervention— making inpatient teams aware that a patient has a central venou...

This study aimed to develop and assess an application software for the teaching of the procedure Manual Measurement of the Central Venous Pressure which can be used in mobile devices. The research was conducted in three phases (Survey of needs; Methodology for multimedia application development and evaluation of the multimedia application).The multimedia was the method chosen because it favors ...

Changes in cardiac filling pressure (central venous pressure) were measured following carotid occlusion and infusions of catecholamines in awake dogs while cardiac output was held constant. After carotid occlusion in dogs with vagi blocked, central venous pressure increased about 0.8 mm Hg (an estimated decrease in vascular capacity of 2.4 ml/kg). Carotid occlusion before vagal block or followi...