Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 14, Issue 1 (2-2025)
J Emerg Health Care 2025, 14(1): 1-6 |
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Bozorgi F, Ziaratban R, Amini Ahidashti H, Varedi N, Jahanian F. Comparative Analysis of Central Venous Pressure Estimation via Ultrasonography Versus Central Venous Line in Emergency Department Patients. J Emerg Health Care 2025; 14 (1) : 15
URL: http://intjmi.com/article-1-1262-en.html
URL: http://intjmi.com/article-1-1262-en.html
Department Of Emergency Medicine, Mazandaran University Of Medical Science, Sari, Iran
Abstract: (180 Views)
Abstract
Background: Central venous pressure (CVP) is currently one of the most widely used parameters for assessing the volume status in critically ill patients. However, CVP measurement using a central venous catheter is an invasive process. Recognizing the importance of noninvasive methods for CVP measurement, this study aimed to conduct a comparative analysis of CVP estimation using ultrasonography versus measurement through a central venous line (CV line) in patients in the emergency department.
Methods: This cross-sectional study was conducted on patients referred to the emergency room of Imam Khomeini Hospital in Sari, Iran in 2023 using the available sampling method. Patients for whom CVP was measured using one of the two methods of ultrasonography and the CV line were included in the study. Vital signs including blood pressure, heart rate, urinary output, and arterial blood gas analysis were checked and documented for each patient. All statistical analyses were performed using SPSS software (version 22, Chicago, IL, USA), and statistical significance was defined as a p-value less than 0.05.
Results: In this study, 116 patients were recruited: 57 women (49%) and 59 men (51%). Among the patients, 59% were under 60 years of age, while 41% were over 60 years of age. There was a significant difference between the mean CVP estimated using ultrasonography and that measured using the CV line method (P = 0.000, t = 15.4). Additionally, the results revealed a significant difference in the mean CVP estimated via ultrasound and that measured using the CV line method, based on symptoms of shock, volume overload, and patient age (P < 0.05).
Conclusion The study results indicated that the CVP estimated via ultrasound is consistent with the CVP measured using the CV line method. Ultrasonography for CVP measurement is a simple, noninvasive, and safe technique that avoids many complications associated with central venous access.
Background: Central venous pressure (CVP) is currently one of the most widely used parameters for assessing the volume status in critically ill patients. However, CVP measurement using a central venous catheter is an invasive process. Recognizing the importance of noninvasive methods for CVP measurement, this study aimed to conduct a comparative analysis of CVP estimation using ultrasonography versus measurement through a central venous line (CV line) in patients in the emergency department.
Methods: This cross-sectional study was conducted on patients referred to the emergency room of Imam Khomeini Hospital in Sari, Iran in 2023 using the available sampling method. Patients for whom CVP was measured using one of the two methods of ultrasonography and the CV line were included in the study. Vital signs including blood pressure, heart rate, urinary output, and arterial blood gas analysis were checked and documented for each patient. All statistical analyses were performed using SPSS software (version 22, Chicago, IL, USA), and statistical significance was defined as a p-value less than 0.05.
Results: In this study, 116 patients were recruited: 57 women (49%) and 59 men (51%). Among the patients, 59% were under 60 years of age, while 41% were over 60 years of age. There was a significant difference between the mean CVP estimated using ultrasonography and that measured using the CV line method (P = 0.000, t = 15.4). Additionally, the results revealed a significant difference in the mean CVP estimated via ultrasound and that measured using the CV line method, based on symptoms of shock, volume overload, and patient age (P < 0.05).
Conclusion The study results indicated that the CVP estimated via ultrasound is consistent with the CVP measured using the CV line method. Ultrasonography for CVP measurement is a simple, noninvasive, and safe technique that avoids many complications associated with central venous access.
Article number: 15
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