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Canadian Journal of Anesthesia, Vol 45, 798-801, Copyright © 1998 by Canadian Anesthesiologists' Society

ARTICLES

Central venous pressure from common iliac vein reflects right atrial pressure

A Alzeer, S Arora, Z Ansari, DF Fayed and M Naguib
Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

PURPOSE: To determine whether central venous pressure at the common iliac vein reflects right atrial pressure in adult patients. METHODS: In this prospective, non-blinded study 26 mechanically-ventilated adult patients were studied. Simultaneous pressure readings were obtained from the right atrium (TCVP) and the common iliac vein (ACVP). RESULTS: There was a correlation between TCVP and ACVP (r = 0.987; P < 0.0001). The mean difference between TCVP and ACVP was 0.93 mm Hg. And the limits of agreement were: -1.93 to 1.77 mm Hg. CONCLUSION: Venous pressure recorded from the common iliac vein reflects that in the right atrium. Adopting a femoral route for central venous pressure measurement may avoid some of the complications associated with the subclavian route.


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Copyright © 1998 by the Canadian Anesthesiologists' Society.