Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure

Zehra Baykal; Handan Güleç; Münire Babayigit; Necla Dereli; Hansa İnceöz; Eyüp Horasanlı

Araştırma Makalesi

Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure

Yıl 2016, Cilt: 1 Sayı: 3, 106 - 113, 05.10.2017

Zehra Baykal Handan Güleç Münire Babayigit Necla Dereli Hansa İnceöz Eyüp Horasanlı

Öz

Objective

In this study, we aimed to analyze if there is any relationship between acute renal failure, central and peripheral venous pressure measurements in adult intensive care patients.

Materials and Methods

We included 39 patients (16 F, 73.6 ± 13.9 yrs old) who were hospitalized in intensive care unit (ICU) for at least 6 days for any reason. Basal and daily creatinine values, daily systolic, diastolic, and mean blood pressures, and central venous pressure / peripheral venous pressure (CVP/PVP) measurements were recorded. Patients who had more than 50% increase in creatinine levels during follow-up were accepted as acute kidney injury (AKI, n: 12) group while patients with stable creatinine values were accepted as no-AKI (n: 27) group.

Results

Considering all patients we found that PVP and CVP measurements were positively correlated (r:.882, p: 0.0001). Mean PVP was 10.6 ± 2.4, mean CVP was 6.4 ± 2.4 and mean PVP- CVP was 4.1 ± 1.1 mmHg. A Bland-Altman diagram for the comparison between mean CVP and PVP measurements during ICU hospitalization also indicated perfect agreement (difference of-4.3). AKI and no-AKI groups were similar in means of demographic characteristics. AKI group had both higher PVP (p: 0.009) and higher CVP (0.039) values. They also had lower systolic and mean arterial pressure (p < 0.05). Patients with renal failure has the highest CVP and PVP values and lowest blood pressures compared to noAKI patients (p: 0.01).

Conclusion

We think that PVP and CVP measurements are highly correlated and both could be used as early markers for venous congestion, lower arterial filling and ARF.

Anahtar Kelimeler

Acute renal failure, peripheral venous pressure

Kaynakça

1. Memtsoudis SG, Jules-Elysse K, Girardi FP, et al. Correlation between centrally versus peripherally transduced venous pressure in prone patients undergoing posterior spine surgery. Spine (Phila Pa 1976). 2008;15;33(18):E643-647.
2. Anter AM, Bondok RS. Peripheral venous pressure is an alternative to central venous pressure in paediatric surgery patients. Acta Anaesthesiol Scand. 2004;48(9):1101-1104.
3. Leipoldt CC, McKay WP, Clunie M, et al. Peripheral venous pressure predicts central venous pressure poorly in pediatric patients. Can J Anaesth. 2006;53(12):1207- 1212.
4. Bagshaw SM, George C, Bellomo R; ANZICS Database Management Committe. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients. Nephrol Dial Transplant. 2008;23(5):1569-1574.
5. Lopes JA, Fernandes P, Jorge S, et al. Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classifications. Crit Care. 2008;12(4):1-8.
6. Kim SH, Park SY, Cui J, et al. Peripheral venous pressure as an alternative to central venous pressure in patients undergoing laparoscopic colorectal surgery. Br J Anaesth. 2011;106(3):305-311.
7. Amoozgar H, Behniafard N, Borzoee M, et al. Correlation between peripheral and central venous pressures in children with congenital heart disease. Pediatr Cardiol. 2008;29(2):281-284.
8. Sahin A, Salman MA, Salman AE, et al. Effect of catheter site on the agreement of peripheral and central venous pressure measurements in neurosurgical patients. J Clin Anesth. 2005;17(5):348-352.
9. Stoneking L, Deluca LA Jr, Fiorello AB, et al. Alternative Methods to Central Venous Pressure for Assessing Volume Status in Critically Ill Patients. J Emerg Nurs. 2012;40(2):115-123.
10. Chen XK, Li SW, Liu DW, et al. Effects of central venous pressure on acute kidney injury in septic shock. Zhonghua Yi Xue Za Zhi. 2011;24;91(19):1323-1327.
11. Yang RL, Wang XT, Liu DW. The hemodynamic characteristic and prognosis significance of acute kidney injury caused by septic shock. Zhonghua Nei Ke Za Zhi. 2009;48(9):715-719.
12. Uthoff H, Breidthardt T, Klima T, et al. Central venous pressure and impaired renal function in patients with acute heart failure. Eur J Heart Fail. 2011;13(4):432- 439.

Akut Böbrek Yetmezlikli Yoğun Bakım Hastalarında Periferal ve Santral Venöz Basınç Değerlerinin Korelasyonu

Yıl 2016, Cilt: 1 Sayı: 3, 106 - 113, 05.10.2017

Zehra Baykal Handan Güleç Münire Babayigit Necla Dereli Hansa İnceöz Eyüp Horasanlı

Öz

Amaç

Bu çalışmada yetişkin yoğun bakım ünitesindeki (YBÜ) hastalarda akut böbrek yetmezliği, santral ve periferik venöz basınç ölçümleri arasında herhangi bir ilişki olup olmadığını analiz etmeyi amaçladık.

Gereç ve Yöntem

Herhangi bir nedenle YBÜ’de en az 6 gün yatmış 39 hasta (16 K, 73.6 ± 13.9 yaş) dahil edildi. Bazal ve günlük kreatinin değerleri, günlük sistolik, diyastolik ve ortalama kan basınçları ile santral venöz basınç / periferik venöz basınç (CVP/ PVP) ölçümleri kaydedildi. İzlem sırasında kreatinin düzeylerinde %50’den fazla artış görülen hastalar, akut böbrek hasarı (AKI, n: 12) grubunda, stabil kreatinin değerleri olan hastalar ise no-AKI (n: 27) grup olarak kabul edildi.

Bulgular

Tüm hastalar göz önüne alındığında, PVP ve CVP ölçümlerinin pozitif yönde (r: .882, p: 0.0001) korele olduğunu tespit ettik. Ortalama PVP 10.6 ± 2.4, ortalama CVP 6.4 ± 2.4 ve ortalama PVP – CVP= 4.1 ± 1.1 mmHg idi. YBÜ’de yatış sürecinde ortalama CVP ve PVP ölçümleri arasındaki karşılaştırmada Bland-Altman diyagramı da mükemmel bir uyum (-4.3 farkı) olduğunu gösterdi. AKI ve no-AKI grupları demografik özellikler açısından benzerdi. AKI grubunda hem PVP (p: 0.009) hem de CVP (0.039) değerleri daha yüksekti. Ayrıca sistolik ve arteryal basınçları daha

düşüktü (p <0.05). Böbrek yetmezliği olan hastalar no-AKI hastalarına kıyasla en yüksek CVP ve PVP değerlerine ve en düşük kan basıncına sahip olduğu görüldü (p: 0.01).

Sonuç

PVP ve CVP ölçümlerinin yüksek oranda korelasyona sahip olduğunu ve her ikisinin de venöz konjesyon, düşük arteriyel dolum ve ARF için erken belirteçler olarak kullanılabileceğini

düşünüyoruz.

Anahtar Kelimeler

Akut böbrek yetmezliği, periferik venöz basınç

Kaynakça

1. Memtsoudis SG, Jules-Elysse K, Girardi FP, et al. Correlation between centrally versus peripherally transduced venous pressure in prone patients undergoing posterior spine surgery. Spine (Phila Pa 1976). 2008;15;33(18):E643-647.
2. Anter AM, Bondok RS. Peripheral venous pressure is an alternative to central venous pressure in paediatric surgery patients. Acta Anaesthesiol Scand. 2004;48(9):1101-1104.
3. Leipoldt CC, McKay WP, Clunie M, et al. Peripheral venous pressure predicts central venous pressure poorly in pediatric patients. Can J Anaesth. 2006;53(12):1207- 1212.
4. Bagshaw SM, George C, Bellomo R; ANZICS Database Management Committe. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients. Nephrol Dial Transplant. 2008;23(5):1569-1574.
5. Lopes JA, Fernandes P, Jorge S, et al. Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classifications. Crit Care. 2008;12(4):1-8.
6. Kim SH, Park SY, Cui J, et al. Peripheral venous pressure as an alternative to central venous pressure in patients undergoing laparoscopic colorectal surgery. Br J Anaesth. 2011;106(3):305-311.
7. Amoozgar H, Behniafard N, Borzoee M, et al. Correlation between peripheral and central venous pressures in children with congenital heart disease. Pediatr Cardiol. 2008;29(2):281-284.
8. Sahin A, Salman MA, Salman AE, et al. Effect of catheter site on the agreement of peripheral and central venous pressure measurements in neurosurgical patients. J Clin Anesth. 2005;17(5):348-352.
9. Stoneking L, Deluca LA Jr, Fiorello AB, et al. Alternative Methods to Central Venous Pressure for Assessing Volume Status in Critically Ill Patients. J Emerg Nurs. 2012;40(2):115-123.
10. Chen XK, Li SW, Liu DW, et al. Effects of central venous pressure on acute kidney injury in septic shock. Zhonghua Yi Xue Za Zhi. 2011;24;91(19):1323-1327.
11. Yang RL, Wang XT, Liu DW. The hemodynamic characteristic and prognosis significance of acute kidney injury caused by septic shock. Zhonghua Nei Ke Za Zhi. 2009;48(9):715-719.
12. Uthoff H, Breidthardt T, Klima T, et al. Central venous pressure and impaired renal function in patients with acute heart failure. Eur J Heart Fail. 2011;13(4):432- 439.

Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Bölüm	Makaleler
Yazarlar	Zehra Baykal Bu kişi benim Handan Güleç Münire Babayigit Bu kişi benim Necla Dereli Bu kişi benim Hansa İnceöz Bu kişi benim Eyüp Horasanlı Bu kişi benim
Yayımlanma Tarihi	5 Ekim 2017
Yayımlandığı Sayı	Yıl 2016 Cilt: 1 Sayı: 3

Kaynak Göster

APA	Baykal, Z., Güleç, H., Babayigit, M., Dereli, N., vd. (2017). Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure. Akademik Araştırma Tıp Dergisi, 1(3), 106-113.
AMA	Baykal Z, Güleç H, Babayigit M, Dereli N, İnceöz H, Horasanlı E. Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure. AATD. Ekim 2017;1(3):106-113.
Chicago	Baykal, Zehra, Handan Güleç, Babayigit Münire, Necla Dereli, Hansa İnceöz, ve Horasanlı Eyüp. “Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure”. Akademik Araştırma Tıp Dergisi 1, sy. 3 (Ekim 2017): 106-13.
EndNote	Baykal Z, Güleç H, Babayigit M, Dereli N, İnceöz H, Horasanlı E (01 Ekim 2017) Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure. Akademik Araştırma Tıp Dergisi 1 3 106–113.
IEEE	Z. Baykal, H. Güleç, M. Babayigit, N. Dereli, H. İnceöz, ve E. Horasanlı, “Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure”, AATD, c. 1, sy. 3, ss. 106–113, 2017.
ISNAD	Baykal, Zehra vd. “Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure”. Akademik Araştırma Tıp Dergisi 1/3 (Ekim 2017), 106-113.
JAMA	Baykal Z, Güleç H, Babayigit M, Dereli N, İnceöz H, Horasanlı E. Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure. AATD. 2017;1:106–113.
MLA	Baykal, Zehra vd. “Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure”. Akademik Araştırma Tıp Dergisi, c. 1, sy. 3, 2017, ss. 106-13.
Vancouver	Baykal Z, Güleç H, Babayigit M, Dereli N, İnceöz H, Horasanlı E. Correlation of Peripheral And Central Venous Pressure Values In Intensive Care Patients With Acute Renal Failure. AATD. 2017;1(3):106-13.

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