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Critical Analysis, Critical Care: Central Venous Pressure Monitoring: What's the Evidence?

Kupchik, Nicole MN, RN, CCNS; Bridges, Elizabeth PhD, RN, CCNS

AJN, American Journal of Nursing: January 2012 - Volume 112 - Issue 1 - p 58–61
doi: 10.1097/01.NAJ.0000410364.51061.c8
Feature Articles

CVP isn't a reliable guide in making decisions about the use of fluid therapy to optimize perfusion.

Editor's note: This is the first in a series of quarterly columns from nurses at the University of Washington that will examine in depth the research underlying critical care practices.

The assumptions clinicians hold regarding CVP monitoring to guide fluid therapy are not supported by evidence.

Nicole Kupchik is clinical nurse specialist at Harborview Medical Center, and Elizabeth Bridges is associate professor at the University of Washington School of Nursing and clinical nurse researcher at the University of Washington Medical Center, all in Seattle. Contact author: Nicole Kupchik, nkupchik@uw.edu. Elizabeth Bridges also coordinates Critical Analysis, Critical Care: ebridges@u.washington.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

© 2012 Lippincott Williams & Wilkins, Inc.