This month, given the amount of critical care time we face at NMH and the discussions on rounds, we will consider the utility of CVP as a guide to fluid resuscitation and as a clinical marker by reviewing the papers below, and an EMCRIT podcast.
Listen to the EMCRIT podcast here: Fluid Responsiveness with Dr. Paul Marik
Papers to be reviewed:
Marik PE and Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013 Jul;41(7):1774-81.
Marik PE, Monnet X, Teboul JL. Hemodynamic parameters to guide fluid therapy. Ann Intensive Care. 2011 Mar 21;1(1):1.