Hemodynamics, fluids & transfusion
Measurement and interpretation of central venous pressure: a narrative review
Authors' conclusion
Although reliance on central venous pressure as a singular guide for fluid resuscitation is discouraged, it remains a valuable tool when interpreted in conjunction with waveform analysis and trend monitoring, offering insights into right heart function, venous congestion and organ perfusion.
Study context
- Participants
- 229 participants
Main finding
As reported in the abstract
- CVP reflects intraluminal pressure of the superior vena cava; measurement affected significantly by transducer position, catheter position and intrathoracic pressures
- In right ventricular dysfunction, CVP waveform loses its x-descent as the y-descent becomes exaggerated
- CVP in isolation is a poor predictor of volume responsiveness
- Elevated CVP linked with impaired tissue perfusion and poor clinical outcomes, incl. AKI and higher mortality risk in certain cohorts
Original publication
Measurement and interpretation of central venous pressure: a narrative review. Anaesthesia. Published 3 June 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →