Key result
CVP line insertion linked to ~233% higher perioperative hypotension rates and greater blood loss.
Why the study?
The practice of central venous pressure line insertion in perioperative head and neck surgical patients required evaluation.
Does central venous pressure (CVP) line insertion improve perioperative care in patients undergoing elective major head and neck surgery?
Observational (n=60)
No
Does central venous pressure (CVP) line insertion improve perioperative care in patients undergoing elective major head and neck surgery?
CVP line insertion in major head and neck surgery is associated with higher baseline comorbidities and does not improve perioperative clinical or laboratory outcomes.
CVP insertion was associated with more hypotension without outcome benefit; hypothesis-generating and should not change practice pending RCTs.
Background: To study the practice of central venous pressure (CVP) line insertion in perioperative head and neck surgical patients. Methods: In this comparative study, patients undergoing elective major head and neck surgery were divided into two groups. Group I (n=22) included those with CVP line insertion and Group II (n=38) without CVP line insertion.Perioperative patient care was assessed in terms of clinical (perioperative hypotension, oliguria, and transfusion requirement) and laboratory parameters (pre and post operative hemoglobin, and estimated blood loss).Results: No significant difference was noted between the two groups in terms of age, gender, weight, and pre-operative hemoglobin levels. Both groups differed significantly in terms of co morbidities (68%:36%, p<0.05), hypotension (50%:15%, p<0.05), oliguria (31.8%:7.8%, p<0.05), post operative haemoglobin (9.75±1.10:10.52±1.11g, p<0.05), and estimated blood loss (846 ±420:588±290 ml, p<0.05). Conclusion: CVP line insertion in major head and neck surgery patients is influenced by presence of co-morbidities. Perioperative patient care does not improve with CVP line insertion.
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Ali et al. (2026) conducted an observational in Elective major head and neck surgery (n=60). Central venous pressure (CVP) line insertion vs. No CVP line insertion was evaluated on Perioperative hypotension (p=<0.05). Central venous pressure line insertion in major head and neck surgery patients was associated with significantly higher rates of perioperative hypotension (50% vs 15%) and greater estimated blood loss.
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