Can (and should) the venous tone be monitored at the bedside?

Current Opinion in Critical Care

Volumn 21, Issue 3, 2015, Pages 240-244

  Aya, Hollmann D ^a,b   Cecconi, Maurizio ^a,b  

^a NATIONAL HEALTH SERVICE   (United Kingdom)

^b ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

central venous pressure; fluid therapy; mean systemic filling pressure; systemic compliance; venous tone

Indexed keywords

VASOACTIVE AGENT;

BIOLOGICAL MONITORING; BLOOD VOLUME; CRITICALLY ILL PATIENT; FLUID THERAPY; HEART FUNCTION; REVIEW; VEIN COMPLIANCE; VEIN TONE; VENOUS CIRCULATION; VENOUS RETURN; CENTRAL VENOUS PRESSURE; CRITICAL ILLNESS; HEART OUTPUT; HEMODYNAMICS; HUMAN; PHYSIOLOGIC MONITORING; PHYSIOLOGY; POINT OF CARE TESTING; PROCEDURES;

CARDIAC OUTPUT; CENTRAL VENOUS PRESSURE; CRITICAL ILLNESS; FLUID THERAPY; HEMODYNAMICS; HUMANS; MONITORING, PHYSIOLOGIC; POINT-OF-CARE TESTING;

EID: 84930003687     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0000000000000199     Document Type: Review

References (29)

1. Guyton AC. Textbook of medical physiology. 11th ed. Philadelphia: Elsevier Saunders; 2006.
2. Rothe CF. Reflex control of veins and vascular capacitance. Physiol Rev 1983; 63:1281-1342.
3. Hainsworth R. Vascular capacitance: its control and importance. Rev Physiol Biochem Pharmacol 1986; 105:101-173.
4. Rowell LB. Human cardiovascular control. New York: Oxford University Press; 1993.
5. Bayliss WM, Starling EH. Observations on venous pressures and their relationship to capillary pressures. J Physiol 1894; 16:159-318.
6. Guyton AC, Lindsey AW, Kaufmann BN, Abernathy JB. Effect of blood transfusion and hemorrhage on cardiac output and on the venous return curve. Am J Physiol 1958; 194:263-267.
7. Guyton AC, Lindsey AW, Kaufmann BN. Effect of mean circulatory filling pressure and other peripheral circulatory factors on cardiac output. Am J Physiol 1955; 180:463-468.
8. Guyton AC. Determination of cardiac output by equating venous return curves with cardiac response curves. Physiol Rev 1955; 35:123-129.
9. Schipke JD, Heusch G, Sanii AP, et al. Static filling pressure in patients during induced ventricular fibrillation. Am J Physiol Heart Circ Physiol 2003; 285:H2510-H2515.
10. Pinsky MR. Instantaneous venous return curves in an intact canine preparation. J Appl Physiol Respir Environ Exerc Physiol 1984; 56:765-771.
11. Versprille A, Jansen JR. Mean systemic filling pressure as a characteristic pressure for venous return. Pflugers Arch 1985; 405:226-233.
12. Den Hartog EA, Versprille A, Jansen JR. Systemic filling pressure in intact circulation determined on basis of aortic vs. central venous pressure relationships. Am J Physiol 1994; 267 (6 Pt 2):H2255-H2258.
13. Hiesmayr M, Jansen JR, Versprille A. Effects of endotoxin infusion on mean systemic filling pressure and flow resistance to venous return. Pflugers Arch 1996; 431:741-747.
14. Maas JJ, Geerts BF, van den Berg PC, et al. Assessment of venous return curve and mean systemic filling pressure in postoperative cardiac surgery patients. Crit Care Med 2009; 37:912-918.
15. Keller G, Desebbe O, Benard M, et al. Bedside assessment of passive leg raising effects on venous return. J Clin Monit Comput 2011; 25:257-263.
16. Mahjoub Y, Touzeau J, Airapetian N, et al. The passive leg-raising maneuver cannot accurately predict fluid responsiveness in patients with intra-abdominal hypertension. Crit Care Med 2010; 38:1824-1829.
17. Parkin WG, Wright CA. Three dimensional closed loop control of the human circulation. Int J Clin Monit Comput 1991; 8:35-42.
18. Parkin WG, Leaning MS. Therapeutic control of the circulation. J Clin Monit Comput 2008; 22:391-400.
19. Parkin G, Wright C, Bellomo R, Boyce N. Use of a mean systemic filling pressure analogue during the closed-loop control of fluid replacement in continuous hemodiafiltration. J Crit Care 1994; 9:124-133.
20. Cecconi M, Aya HD, Geisen M, et al. Changes in the mean systemic filling pressure during a fluid challenge in postsurgical intensive care patients. Intensive Care Med 2013; 39:1299-1305.
21. Gupta K, Sondergaard S, Parkin G, et al. Applying mean systemic filling pressure to assess the response to fluid boluses in cardiac postsurgical patients. Intensive Care Med 2015; 41:265-272.
22. Anderson RM. The gross physiology of the cardiovascular system. 2012 ed. Tucson, Arizona: Racquet Press; 1993.
23. Maas JJ, Pinsky MR, Geerts BF, et al. Estimation of mean systemic filling pressure in postoperative cardiac surgery patients with three methods. Intensive Care Med 2012; 38:1452-1460.
24. Rangappa R, Sondergaard S, Aneman A. Improved consistency in interpretation and management of cardiovascular variables by intensive care staff using a computerised decision-support system. Crit Care Resusc 2014; 16:48-53.
25. Sondergaard S, Wall P, Cocks K, et al. High concordance between expert anaesthetists' actions and advice of decision support system in achieving oxygen delivery targets in high-risk surgery patients. Br J Anaesth 2012; 108:966-972.
26. Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 2014; 40:1795-1815.
27. Maas JJ, Pinsky MR, Aarts LP, Jansen JR. Bedside assessment of total systemic vascular compliance, stressed volume, and cardiac function curves in intensive care unit patients. Anesth Analg 2012; 115:880-887.
28. Maas JJ, Pinsky MR, de Wilde RB, et al. Cardiac output response to norepinephrine in postoperative cardiac surgery patients: interpretation with venous return and cardiac function curves. Crit Care Med 2013; 41:143-150.
29. Cecconi M, Aya HD. Central venous pressure cannot predict fluid-responsiveness. Evid Based Med 2014; 19:63.