Response

CHEST Critical Care, vol. 3, pp. 100173

Abstract

We thank the authors for their thoughtful commentary on our SONIC CENTRAL study1 and the letter by Greenstein and Geuvarra.2 We fully agree that central venous pressure (CVP), like any hemodynamic variable, should not be interpreted in isolation. Rather than trying to “see the forest through 1 tree,” our goal was to take a closer look at 1 of the more accessible trees and explore how it contributes to the broader hemodynamic picture when assessed accurately.

Authors 6

1. Tessa A. Mulder corresponding Aachen Department of Acute Internal Medicine

   Leiden University Medical Center

   Affiliation as printed

   Department of Acute Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands

2. Linda Becude Aachen Department of Acute Internal Medicine Department of Cardiology, Leiden University Medical Center

   Leiden University Medical Center

   Affiliation as printed

   Department of Acute Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands

   Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

3. Jorge E. López Matta Aachen Department of Intensive Care Medicine

   Leiden University Medical Center

   Affiliation as printed

   Department of Intensive Care Medicine, Leiden University Medical Center, Leiden, The Netherlands

4. Wilbert B. van den Hout Aachen Department of Medical Decision Making

   Leiden University Medical Center

   Affiliation as printed

   Department of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands

5. David J. van Westerloo Aachen Department of Intensive Care Medicine

   Leiden University Medical Center

   Affiliation as printed

   Department of Intensive Care Medicine, Leiden University Medical Center, Leiden, The Netherlands

6. Martijn P. Bauer Aachen Department of Acute Internal Medicine

   Leiden University Medical Center

   Affiliation as printed

   Department of Acute Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands