Xavier University- Ateneo de Cagayan

73 Corrales Avenue, Cagayan de Oro,

9000 Misamis Oriental

Bachelor of Science in Nursing

NCM 118

CVP MONITORING ARTICLE

Submitted by:
Marbella, Mariano Ponce B.

BSN 4 – ND

Submitted to:

Ma’am Renzi Pepito, RN, MN

September 6, 2021
 SUMMARY

The article compares the measurement of central venous pressure in memechanicaly

ventilated patients without spontaneous breathing using different techniques.

Central venous pressure or CVP measurement remains widely used in the ICU for guiding
fluid management in patients with haemodynamic instability. Because CVP depends on
ventricular compliance and cardiopulmonary interactions, measurement is important. In daily
practice, all CvP measurements are associated with potential pitfalls and no previous study
has compared their respective accuracy.This study was conducted from November 2013 tp
April 2014. The researchers included mechanically ventilated patients without cardiac
arrhythmias and without known or suspected tricuspid regurgitation. In such patients, CVP
monitoring is routinely prescribed every 6 hours by the medical staff. CVP measurement was
performed according to the usual practices of the ICU.

In clinical practice, CVP monitor can be rapidly measure and gives an estimation of CVP
measured with acceptable limits of agreement and bias.

REACTION

The article used four techniques to measure CVP. CVP – Measure, Monitor, Nadir, and
Calculated.

CVP measured is considered as a reference technique and measure the CvP at the base
of the “c” wave at the end of the expiratory phase. CVP monitor is the mean CVP value
displayed on the monitor after three respiratory cycles without mechanical ventilation
interruption and without spontaneous breaths. CVP nadir is the measurement at the base of
the “c” wave after a transient disconnection of mechanical ventilation. CVP calculated is a
measurement that takes into account the transmitted respiratory pressure. Reading this article
has helped me in further understanding CvP is and why it has to be meaaured. According to
my understanding, CVP is considered to be the direct measurement of the blood pressure in
the right atrium and vena cava while we need to measure it to assess the fluid states of patients
in critical care settings. The articles compared the measurement and accuracy of the four
techniques and discovered that CVP Monitor is the better alternative to CVP Measured.

The article is useful as a reference to which technique is more satisfactory in its results. It
is also helpful in understanding the different techniques and why this study was conducted in
the first place.
BIBLIOGRAPHY

Roger, C., Muller, L., Riou, B., Molinari, N., Louart, B., Kerbrat, H., Teboul, J.-L., &
Lefrant, J.-Y. (2017). Comparison of different techniques of central venous pressure
measurement in mechanically ventilated critically ill patients. British Journal of
Anaesthesia, 118(2), 223–231. https://doi.org/10.1093/bja/aew386