In days gone by, people relied on the CVP as a simple means of predicting fluid responsiveness. But it turns out the CVP is really bad at predicting the patients' responsiveness to fluid challenges. There are too many variables governing central venous pressure. This has become evident from some high-quality evidence, and it has been known for some time. Indeed, so obvious the uselessness of CVP in this scenario, and so entrenched the practice of its use, that prominent authors have described a recent meta-analysis as a plea for common sense.