CD Skripsi
korelasi antara tekananIvenaIsentralIdanI tekanan IintraokuliI pada IpasienI sepsis I diIruangI rawatI intensif I rsud arifin achmad provinsi riau
Introduction: Central venous pressure is essential for supporting diagnosis, determining patient condition, and monitoring resuscitation in patients with sepsis. Central venous pressure is obtained by inserting an invasive central venous catheter, which carries significant risks and costs and is difficult to find in peripheral areas. Anatomically, intraocular pressure is related to the superior vena cava and the right atrium of the heart. Intraocular pressure is measured using a Perkins tonometer, which has the highest accuracy, thereby providing better research results.
Objective: To determine the correlation between intraocular pressure (IOP) and central venous pressure (CVP) and to obtain a formula for the relationship between IOP and CVP that can be used to estimate CVP.
Method: After obtaining approval from the UNRI Faculty of Medicine ethics committee, 20 patients with sepsis were collected as samples, where these patients were patients who had central venous catheters inserted and underwent intensive care at the Arifin Achmad Regional General Hospital in Riau Province. After confirming that the patients had no abnormalities in their eyes, intraocular pressure was measured using Perkins tonometry and CVP was measured. A fluid challenge test was then performed, followed by re-measurement of intraocular pressure and CVP using the same procedure. All data were analysed using correlation and simple linear regression tests.
Results: A linear correlation was found between IOP and CVP (r=0.947, p=0.001). CVP can be estimated using the IOP value (CVP=-0.619+(0.522 x IOP)
Conclusion: IOP values are very useful for estimating CVP values when central venous catheter placement is difficult or impossible.
Keywords: Intraocular pressure (IOP), Central venous pressure (CVP), Perkins tonometry.
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