Levophed and the CVP

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  1. Do you find the CVP helpful in critically ill patients?

    • 15
      yes, love it
    • 7
      no, useless

22 members have participated

Increasing levophed does increase the CVP, it does so by increasing the mean systemic filling pressure which increases venous return to the right heart.

see this post for a review

http://pulmccm.org/main/2014/review-articles/icu-physiology-1000-words-defense-central-venous-pressure/

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Specializes in RETIRED Cath Lab/Cardiology/Radiology.

Very good article: well-written, engaging and presents useful information.

Thank you!

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Thanks, I thought it was a nice, quick description of the physiology of the CVP. I hope others find it useful too.

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Like.

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Specializes in ICU/CVU.

Most of the attendings in our ICU do ultrasound IVC compressibility to assess fluid volume status.

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yes, the attendings in my unit are doing ultrasound a lot as well. is it better than CVP?

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yes, the attendings in my unit are doing ultrasound a lot as well. is it better than CVP?

We no longer CVPs in the ICU where I work. they are not considered good EBP compared to US IVC. They are still used for some things like the ARDS diuresis protocol

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Yeah, that was the sense I was getting about IVC compression with sonography, but my eyes were a little opened when I read the last comment of the blog post above:

ICU Physiology in 1000 Words: In Defense of the Central Venous Pressure - PulmCCM

the commenter says that IVC compression is not much better than CVP?? that's not what the attendings in our unit do?

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