Comparative Study of the Perioperative Care of Head and Neck Surgical Patients with and without Central Venous Pressure Line

Abstract

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 comorbidities
(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.