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Discussion

Levophed and the CVP

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/

  • Quote

    • Do you find the CVP helpful in critically ill patients? 22 members have participated

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

      • yes, love it
        68%
        15
      • no, useless
        31%
        7

    Please sign in or register to vote in this poll.

    Featured Replies

    • Admin

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

    Thank you!

  • Quote
    • Author

    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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    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?

  • Quote
    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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