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Central Venous Pressure as a Predictor of Fluid Responsiveness: Is This All You Need?
Author(s): Marcello Guarnieri, Alessandro Belletti, Francesco Saglietti and Elena BignamiMarcello Guarnieri, Alessandro Belletti, Francesco Saglietti and Elena Bignami
Fluid administration during and after surgery is a fundamental strategy for maintaining hemodynamic stability. Technology offers different strategies for hemodynamic monitoring and decision making about fluids administration. In particular patients may be divided into fluid-responding patients and non-fluid-responding patients. Central venous pressure, measured by a central venous catheter, is a basic measure of right heart preload, and many trials defined it as a non-trustable parameter, with many biases and confounding factors, such as mechanical ventilation and intrathoracic pressure. Nevertheless, many authors describe how a simple value like the Central venous pressure may be useful in hemodynamic monitoring during and after cardiac surgery, although it is not the best available. Moreover the results of a recent survey performed in cardiothoracic intensive care units in Italy, re.. Read More»