IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-2-14300 Original Research Paper A Study to compare Central and Peripheral Venous Pressures in different Body Positions in patients undergoing Laparoscopic Hysterectomy Aterkar Dr. Dr Devdas Divekar Dr. February 2018 7 2 01 02 ABSTRACT

 

 

1. PURPOSE: To correlate CVP & PVP in different body positions in patients

 

undergoing laparoscopic hysterectomy.

 

2. METHODS:

 

Study Design– Prospective study

 

Settings– Ethical Committee Approved study in Tertiary Care Hospital in rural settings.

 

Subjects– 126 ASA I & II patients meeting inclusion criteria undergoing Laparoscopic

 

Hysterectomy.

 

Inclusion Criteria: ASA I–II patients, aged between 20–60 yrs, not having

 

contraindications for Central venous catheterization, posted for elective laparoscopic

 

surgeries and consenting to participate in the study.

 

Intervention: Central venous catheterization performed in Right Internal Jugular Vein

 

 


 


 

by Arrow (8F) Double Lumen Central Line. Peripheral venous cannulation done using

 

Intracath (20G).

 

Measurement: Heart rate, Saturation, Systolic, Diastolic and mean arterial pressure,

 

etCO2, CVP, PVP,temperature.

 

3. RESULTS: We found a difference of 2–5 mm of Hg between central and peripheral

 

venous pressures (peripheral pressures being higher). The values (CVP, PVP) varied

 

with change in position from Supine (6.71, 9.01) to Lithotomy (8.76, 12.28) to

 

Trendlenburg (16.08, 18.57) position & during CO2 insufflation of peritoneal cavity

 

(12.65, 15.99) but this relationship remained same. Some inter patient variations noted

 

could be attributed to the difference in the body mass index, the difference in

 

haemoglobin values, ongoing intra surgical blood losses, temperature of the operating

 

room & duration of surgery leading to variations in systemic vascular resistance.

 

4. CONCLUSIONS: Almost all patients posted for surgical procedures have peripheral

 

IV cannula in place, and hence, monitoring only PVP will not only contribute to

 

reductions in costs & complications but also would reduce the intraoperative time.