Central Venous Pressure as a Guide to Volume Expansion
Authors: JAY N. COHN
Journal: Annals of Internal Medicine (1967)

Editorials1 June 1967Central Venous Pressure as a Guide to Volume ExpansionJAY N. COHN, M.D., F.A.C.P.JAY N. COHN, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-6-1283 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent hemodynamic studies in a number of centers have prompted revision of the older concept that blood volume should be expanded only to replace obvious losses. It has now been clearly established that the vast majority of patients with shock, oliguria, or peripheral circulatory failure responds well to aggressive volume expansion, even when there is no demonstrable site for blood or plasma loss (1-3). Such functional deficits in blood volume are presumably related to intravascular or extravascular sequestration that may accompany fever, septicemia, myocardial infarction, infusion of sympathomimetic drugs (4), or any illness associated with intense reflex sympathoadrenal discharge (5)....References1. SMITHMOORE LLFD: Refractory hypotension in man—is this irreversible shock? New Eng. J. Med. 267: 733, 1962. CrossrefMedlineGoogle Scholar2. COHNLURIA JNMH: Studies in clinical shock and hypotension. The value of bedside hemodynamic observations. JAMA 190: 891, 1964. CrossrefMedlineGoogle Scholar3. MACLEANDUFFSCOTTPERETZ LDJHHMDI: Treatment of shock in man based on hemodynamic diagnosis. Surg. Gynec. Obstet. 120: 1, 1965. MedlineGoogle Scholar4. COHN JN: Relationship of plasma volume changes to resistance and capacitance vessel effects of sympathomimetic amines and angiotensin in man. Clin. Sci. 30: 267, 1966. MedlineGoogle Scholar5. 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MATZ R: Complications of determining the central venous pressure. New Eng. J. Med. 273: 703, 1965. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JAY N. COHN, M.D., F.A.C.P.Affiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byChanges in the Inferior Vena Cava Are More Sensitive Than Venous Pressure During Fluid Removal: A Proof-of-Concept StudyChanges in inferior vena cava area represent a more sensitive metric than changes in filling pressures during experimental manipulation of intravascular volume and toneCardiovascular MonitoringPlasma Volume and Renal Function Predict Six-Month Survival after Hospitalization for Acute Decompensated Heart FailureFluid loss, venous congestion, and worsening renal function in acute decompensated heart failureHemoconcentration, Heart Failure, and SurvivalCharacteristics of Patients With Improvement or Worsening in Renal Function During Treatment of Acute Decompensated Heart FailurePotential Effects of Aggressive Decongestion During the Treatment of Decompensated Heart Failure on Renal Function and SurvivalStroke Volume Variation as a Guide to Fluid Administration in Morbidly Obese Patients Undergoing Laparoscopic Bariatric SurgeryCardiovascular MonitoringStress, strain, ignorance and reinventing the wheel: Understanding central venous pressureThe Medical Management of Heart FailureGoal-Directed Therapy for Severe SepsisThe jugular veins: Knowing enough to lookPhysical examination of venous pressure: A critical reviewJugular venous pressure monitoring: A lost art?Clinical Assessment of Central Venous Pressure in the Critically IllCritical Care CardiologyVenous System: Physiology of the Capacitance VesselsHemodynamic MonitoringPrinciples of Fluid Challenge for Routine Treatment of ShockDie Wertigkeit von Meßmethoden in der klinischen DiagnostikBlast injuries to the lungs: clinical presentation, management and courseEstimation of central venous pressure by examination of jugular veinsDiagnostische Maßnahmen, Methoden und GeräteHemorrhagic and endotoxic shock: A pathophysiologic approach to diagnosis and management"Kardiogener Schock — Diagnostik und Therapie"Power failure in acute myocardial infarctionLactic acidosisDiagnosis and Treatment of Shock in Internal MedicineBedside catheterization of the left ventricleBacteremia and Bacteremic Shock in Surgical PatientsProbleme des kardiogenen SchocksVenous Pressure and Other Thoughts [ Abridged ]A New Simple Readout Instrument for Continuous Automatic Central Venous Pressure MonitoringVenomotor Tone and Central Venous PressureParenteral Fluid TherapyHemodynamic measurements in a coronary care unitA Physiologic Approach to Shock 1 June 1967Volume 66, Issue 6Page: 1283-1287KeywordsBlood plasmaBlood volumeDrugsFeversHemodynamicsMyocardial infarctionPlasma volumeReflexesSepsisShock ePublished: 1 December 2008 Issue Published: 1 June 1967 PDF downloadLoading ...