- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Part 5.1 Physiology
- Part 5.2 Cardiovascular monitoring
- Chapter 129 ECG monitoring in the ICU
- Chapter 130 Arterial and venous cannulation in the ICU
- Chapter 131 Blood pressure monitoring in the ICU
- Chapter 132 Central venous pressure monitoring in the ICU
- Chapter 133 Pulmonary artery catheterization in the ICU
- Chapter 134 Mixed and central venous oxygen saturation monitoring in the ICU
- Chapter 135 Right ventricular function in the ICU
- Chapter 136 Cardiac output assessment in the ICU
- Chapter 137 Oxygen transport in the critically ill
- Chapter 138 Tissue perfusion monitoring in the ICU
- Chapter 139 Lactate monitoring in the ICU
- Chapter 140 Measurement of extravascular lung water in the ICU
- Chapter 141 Doppler echocardiography in the ICU
- Chapter 142 Monitoring the microcirculation in the ICU
- Chapter 143 Imaging the cardiovascular system in the ICU
- Part 5.3 Acute chest pain and coronary syndromes
- Part 5.4 Aortic dissection
- Part 5.5 The hypotensive patient
- Part 5.6 Cardiac failure
- Part 5.7 Tachyarrhythmias
- Part 5.8 Bradyarrhythmias
- Part 5.9 Valvular problems
- Part 5.10 Endocarditis
- Part 5.11 Severe hypertension
- Part 5.12 Severe capillary leak
- Part 5.13 Pericardial tamponade
- Part 5.14 Pulmonary hypertension
- Part 5.15 Pulmonary embolus
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 613) Central venous pressure monitoring in the ICU
- Chapter:
- (p. 613) Central venous pressure monitoring in the ICU
- Author(s):
Sheldon Magder
- DOI:
- 10.1093/med/9780199600830.003.0132
Central venous pressure (CVP) is at the crucial intersection of the force returning blood to the heart and the force produced by cardiac function, which drives the blood back to the systemic circulation. The normal range of CVP is small so that before using it one must ensure proper measurement, specifically the reference level. A useful approach to hypotension is to first determine if arterial pressure is low because of a decrease in vascular resistance or a decrease in cardiac output. This is done by either measuring cardiac output or making a clinical assessment blood flow. If the cardiac output is decreased, next determine whether this is because of a cardiac pump problem or a return problem. It is at this stage that the CVP is most helpful for these options can be separated by considering the actual CVP or even better, how it changed with the change in cardiac output. A high CVP is indicative of a primary pump problem, and a low CVP and return problem. Understanding the factors that determine CVP magnitude, mechanisms that produce the components of the CVP wave form and changes in CVP with respiratory efforts can also provide useful clinical information. In many patients, CVP can be estimated on physical exam.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Part 5.1 Physiology
- Part 5.2 Cardiovascular monitoring
- Chapter 129 ECG monitoring in the ICU
- Chapter 130 Arterial and venous cannulation in the ICU
- Chapter 131 Blood pressure monitoring in the ICU
- Chapter 132 Central venous pressure monitoring in the ICU
- Chapter 133 Pulmonary artery catheterization in the ICU
- Chapter 134 Mixed and central venous oxygen saturation monitoring in the ICU
- Chapter 135 Right ventricular function in the ICU
- Chapter 136 Cardiac output assessment in the ICU
- Chapter 137 Oxygen transport in the critically ill
- Chapter 138 Tissue perfusion monitoring in the ICU
- Chapter 139 Lactate monitoring in the ICU
- Chapter 140 Measurement of extravascular lung water in the ICU
- Chapter 141 Doppler echocardiography in the ICU
- Chapter 142 Monitoring the microcirculation in the ICU
- Chapter 143 Imaging the cardiovascular system in the ICU
- Part 5.3 Acute chest pain and coronary syndromes
- Part 5.4 Aortic dissection
- Part 5.5 The hypotensive patient
- Part 5.6 Cardiac failure
- Part 5.7 Tachyarrhythmias
- Part 5.8 Bradyarrhythmias
- Part 5.9 Valvular problems
- Part 5.10 Endocarditis
- Part 5.11 Severe hypertension
- Part 5.12 Severe capillary leak
- Part 5.13 Pericardial tamponade
- Part 5.14 Pulmonary hypertension
- Part 5.15 Pulmonary embolus
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care