Central Venous Catheterization and Central Venous Pressure Monitoring

Adams, Bruce D.; Lyon, Matthew; DeFlorio, Paul T.

doi:10.1016/b978-1-4160-3623-4.00022-5

Cited by 6 publications

(8 citation statements)

References 126 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is the preferred method in the ED and in other situations when a pulmonary artery catheter is not practical (12). Recent criticisms of using CVP to estimate fluid responsiveness notwithstanding, CVP measurements remain the standard of care in shock management (13).…”

Section: Discussionmentioning

confidence: 99%

Does a Simple Bedside Sonographic Measurement of the Inferior Vena Cava Correlate to Central Venous Pressure?

Lorenzo

Morris

Williams

et al. 2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Does a Simple Bedside Sonographic Measurement of the Inferior Vena Cava Correlate to Central Venous Pressure?

Lorenzo

Morris

Williams

et al. 2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…The femoral catheter insertion methodology was consistent and standardized among physicians via the Modified Seldinger approach. 5 The catheters were sutured at the insertion site and dressed with a sterile transparent occlusive dressing.…”

Section: Samplementioning

confidence: 99%

“…Cannulation of arterial and venous femoral vessels has been identified as a potential and actual barrier to hip flexion, sitting, standing and walking for patients in the intensive care unit (ICU). [1][2][3][4][5] Femoral arterial catheterization for hemodynamic monitoring is the most commonly used location after the radial artery, particularly in medical ICU settings. 6 Venous access is used to administer medications or fluid, allow blood sampling, monitor pressure, and provide access for dialysis.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Mobility Interventions in Patients with Femoral Catheters in the ICU: A Prospective Observational Study

Perme

Nalty²,

Winkelman³

et al. 2013

Cardiopulmonary Physical Therapy Journal

View full text Add to dashboard Cite

Introduction: There are limited data describing mobility interventions provided to patients with femoral catheters. The purpose of this study was to examine the incidence of femoral catheter related adverse effects during physical therapy (PT) sessions in a cardiovascular intensive care unit (ICU). Methods: This was a prospective, observational study and included patients with at least one femoral catheter. Data were collected after each PT session. Results: There were 77 subjects with a total of 92 femoral catheters (50 arterial, 15 central venous, and 27 dialysis) treated. A total of 210 separate PT sessions occurred with 630 mobility activities including sitting on side of bed, standing at the bedside, transfers to stretcher chair or regular chair, and walking. There were no catheter related mechanical or thrombotic complications during any of the PT sessions. Conclusions: Physical therapy sessions, including standing and walking were feasible and safe in cardiovascular ICU patients with femoral catheters who met the criteria for mobility interventions. The results from this study support the hypothesis that early mobilization in patients with femoral catheters is important to minimize functional decline and provide evidence that the presence of femoral catheters alone should not be a reason to limit progressive mobility interventions.

show abstract

“…Although coagulopathy is cited as a relative contraindication, it did not seem to delay the timing of CVC in the acute setting. 42 …”

Section: Discussionmentioning

confidence: 99%

Rates and Timing of Central Venous Cannulation Among Patients With Sepsis and Respiratory Arrest Admitted by the Emergency Department*

Theodoro

Owens

Olsen

et al. 2014

Critical Care Medicine

View full text Add to dashboard Cite

Objective Clinical guidelines for the acute management of emergency department (ED) patients with severe sepsis encourage the placement of central venous catheters (CVC). Data examining the timing of CVC insertion among critically ill patients admitted from the ED are limited. We examined the hypothesis that prompt CVC insertion during hospitalization among patients admitted from the ED acts as a surrogate marker for early aggressive care in the management of critically ill patients. Design Retrospective cross sectional analysis of ED visits using 2003-2006 discharge data from California, State Inpatient Databases (SID), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality. Setting General medical or general surgical hospitals (n=310). Patients Patient hospitalizations beginning in the ED with the two most common diagnoses associated with CVC (sepsis and respiratory arrest.) Interventions None. Measurements and Main Results We identified the occurrence and timing of CVC using International Classification of Diseases, Clinical Modifications, 9th Revision procedure codes. The primary outcomes measured were annual CVCs per 1000 hospitalizations that began in the ED occurring emergently (procedure day 0), urgently (procedure day 1-2), or late (procedure day 3 or later). A total of 129,288 hospital discharges had evidence of CVC. In 2003 5,759 CVCs were placed emergently compared to 10,469 in 2006. The rate of emergent CVC/1000 increased annually from 228 in 2003, 239 in 2004, 257 in 2005, up to 269 in 2006. Urgent and late CVC rates trended down (p<.001). In a multilevel model the odds of undergoing emergent CVC relative to 2003 increased annually: 1.08 (95%CI, 1.03 to 1.12) in 2004, 1.19 (95%CI, 1.14 to 1.23) in 2005, and 1.28 (95%CI, 1.23 to 1.33) in 2006. Conclusions CVCs are inserted earlier and more frequently among critically ill patients admitted from the ED. Earlier CVC insertion may require systematic changes to meet increasing utilization and enhanced mechanisms to measure CVC outcomes.

show abstract

Central Venous Catheterization and Central Venous Pressure Monitoring

Cited by 6 publications

References 126 publications

Does a Simple Bedside Sonographic Measurement of the Inferior Vena Cava Correlate to Central Venous Pressure?

Does a Simple Bedside Sonographic Measurement of the Inferior Vena Cava Correlate to Central Venous Pressure?

Safety and Efficacy of Mobility Interventions in Patients with Femoral Catheters in the ICU: A Prospective Observational Study

Rates and Timing of Central Venous Cannulation Among Patients With Sepsis and Respiratory Arrest Admitted by the Emergency Department*

Contact Info

Product

Resources

About