Can someone tell me if the CVP in adults is the same in children?
Oct 21, '06
True, to a point. If the child has a cardiac defect, then there are other things that a change in CVP might reflect. This depends on where the line is... femoral lines are only really good for trending. Lines placed above the clavicles measure pressures just upstream from the right atrium and give a reflection of right-sided heart function. Higher CVP in the cardiac patient may mean simple fluid overload, but it could mean worsening right heart failure. The atrium is trying to empty into a stiff or dilated right ventricle and can't, so the pressure rises. In kids who come from the CV-OR with higher-than-normal CVP and are kept euvolemic, a drop may indicate gradually improving function. Make sense?
Last edit by NotReady4PrimeTime on Oct 23, '06
: Reason: Sheesh, I need a proof-reader!