@article{article_443274, title={Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure}, journal={Akademik Araştırma Tıp Dergisi}, volume={1}, pages={106–113}, year={2017}, url={https://izlik.org/JA79FK87YU}, author={Baykal, Zehra and Güleç, Handan and Babayigit Münire and Dereli, Necla and İnceöz, Hansa and Horasanlı Eyüp}, keywords={Acute renal failure,peripheral venous pressure}, abstract={<p class="p1"> <span style="font-size: 18px;"> <b>Objective </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">In this study, we aimed to analyze if there is any relationship  </span> <span style="font-size: 18px;">between acute renal failure, central and peripheral venous  </span> <span style="font-size: 18px;">pressure measurements in adult intensive care patients. </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Materials and Methods </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">We included 39 patients (16 F, 73.6 ± 13.9 yrs old) who were  </span> <span style="font-size: 18px;">hospitalized in intensive care unit (ICU) for at least 6 days for  </span> <span style="font-size: 18px;">any reason. Basal and daily creatinine values, daily systolic,  </span> <span style="font-size: 18px;">diastolic, and mean blood pressures, and central venous pressure  </span> <span style="font-size: 18px;">/ peripheral venous pressure (CVP/PVP) measurements  </span> <span style="font-size: 18px;">were recorded. Patients who had more than 50% increase in  </span> <span style="font-size: 18px;">creatinine levels during follow-up were accepted as acute kidney  </span> <span style="font-size: 18px;">injury (AKI, n: 12) group while patients with stable creatinine  </span> <span style="font-size: 18px;">values were accepted as no-AKI (n: 27) group. </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Results </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">Considering all patients we found that PVP and CVP measurements  </span> <span style="font-size: 18px;">were positively correlated (r:.882, p: 0.0001).  </span> <span style="font-size: 18px;">Mean PVP was 10.6 ± 2.4, mean CVP was 6.4 ± 2.4 and  </span> <span style="font-size: 18px;">mean PVP- CVP was 4.1 ± 1.1 mmHg. A Bland-Altman  </span> <span style="font-size: 18px;">diagram for the comparison between mean CVP and PVP  </span> <span style="font-size: 18px;">measurements during ICU hospitalization also indicated  </span> <span style="font-size: 18px;">perfect agreement (difference of-4.3). AKI and no-AKI  </span> <span style="font-size: 18px;">groups were similar in means of demographic characteristics.  </span> <span style="font-size: 18px;">AKI group had both higher PVP (p: 0.009) and higher  </span> <span style="font-size: 18px;">CVP (0.039) values. They also had lower systolic and mean  </span> <span style="font-size: 18px;">arterial pressure (p < 0.05). Patients with renal failure has  </span> <span style="font-size: 18px;">the highest CVP and PVP values and lowest blood pressures  </span> <span style="font-size: 18px;">compared to noAKI patients (p: 0.01). </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Conclusion </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">We think that PVP and CVP measurements are highly correlated  </span> <span style="font-size: 18px;">and both could be used as early markers for venous  </span> <span style="font-size: 18px;">congestion, lower arterial filling and ARF.  </span> </p> <p class="p2"> <br> </p> <style type="text/css"> <span style="font-size: 18px;"> p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Times; color: #6b6a6a} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Helvetica; color: #6b6a6a} span.s1 {font: 8.0px Times} </span> </style>}, number={3}