Journal title
عنوان نشریه
Iranian Journal of Vascular Surgery and Endovascular Therapy
Literature & Humanities
http://ijvset.gums.ac.ir
1
admin
doi
en
jalali
1400
10
1
gregorian
2022
1
1
2
1
online
1
fulltext
en
Investigating the effect of Positive end-expiratory pressure (PEEP) on central venous pressure - a clinical trial
عمومى
General
Original articles
<span style="font-size:11pt"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Investigating the changes in CVP at different positive end-expiratory pressures (PEEP) can play an important role in more accurately assessing ICU patients in terms of their treatment strategies and fluid therapy as effectively as possible.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">T</span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">his present study was performed to evaluate the effect of PEEP changes on CVP in patients admitted to the emergency ICU.</span></span></span> <span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">In this quasi-experimental clinical trial study, 82 intubated patients with right subclavian central vein catheter admitted to the trauma ward were studied. Patients were treated with etomidate at a dose of 0.3 mg/Kg and fixed ventilator settings.</span></span></span> <span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">CVP in PEEPs 3, 5 and 7 was measured every 30 minutes. 52.2% of patients were male. The mean age of the patients was 61.65 years. The most common causes of hospitalization in patients were cerebrovascular accident (CVA) (37.1%) and sepsis (23.2%). The mean CVP recorded in PEEPs 3, 5 and 7 were 10.42 ± 1.37, 11.15 ± 1.53 and 12.36 ± 1.69 (cmH2O), respectively. We found that with increasing PEEP, CVP level increases (p <0.05) and also found that for every 2 cmH2o increases in PEEP, the CVP increases by 4% (cmH2O). No significant relationship was observed between age, sex and reason of hospitalization and changes in CVP with PEEP changes (P> 0.05). This study showed that there is a significant relationship between increased PEEP and increased CVP in hospitalized patients and it was found that for every two cmH2O increase in PEEP, the CVP increases by 4%.</span></span></span></span></span></span><br>
PEEP- CVP- clinical trial
0
0
http://ijvset.gums.ac.ir/browse.php?a_code=A-10-58-1&slc_lang=en&sid=1
Sayyed Mahdi
Zia Ziabari
No
Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Sayyed Mostafa
Zia Ziabari
No
Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Reza Safaei
Lapavandani
reza_safaei971@yahoo.com
Yes
Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Ali
Ashraf
No
Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Siamak
Rimaz
No
3Department of Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
Enayatollah
Homaie Rad
No
Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran