Respiratory failure & ventilation

Relationship between esophageal and central venous pressure variation during respiratory activity: the best choice among four different methods to measure the amplitude of central venous pressure changes

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

Among the different measurement strategies, ∆CVPtot-defined as the difference between the highest and lowest CVP values within a respiratory cycle-showed the strongest association with ∆Pes. Averaging over at least three consecutive breaths further enhanced this relationship.

Study context

Population
Mechanically ventilated patients2,286 breaths analysed
Participants
22 participants
Exposure
Four methods to measure respiratory ∆central venous pressure (CVP) vs ∆pressure (Pes)
Outcome
Association between ∆Pes and each ∆CVP variant (linear mixed-effects models)
Methodological detailslinear mixed-effects models
  • Linear mixed-effects models

Main finding

As reported in the abstract

Association with ∆Pes
GroupMarginal R²Conditional R²
∆CVPtot0.500.78

∆CVPtot

Marginal R²0.50
Conditional R²0.78

Observational data: associations, not effects.

Further findings

Association with ∆Pes using median of multiple consecutive breaths

Marginal R², median of 3 breaths
0.60
Marginal R², median of 23 breaths
0.70

Original publication

Relationship between esophageal and central venous pressure variation during respiratory activity: the best choice among four different methods to measure the amplitude of central venous pressure changes. J Clin Monit Comput. Published 5 March 2026. doi:10.1007/s10877-026-01425-z

Composed by AI from the published abstract and checked against it. How Briefs are made →

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