ArticleRevista Brasileira de terapia intensiva
Right internal jugular vein distensibility appears to be a surrogate marker for inferior vena cava vein distensibility for evaluating fluid responsiveness.
Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Internal jugular vein ultrasound for the diagnosis of hypovolemia and hypervolemia in acutely ill adults: a systematic review and meta-analysis.Internal and emergency medicine · 2022Pooled it
- Effects of liquid resuscitation guided by internal jugular vein variability during deep inhalation on preventing propofol-induced hypotension in elderly patients.BMC anesthesiology · 2025Trial
- Respiratory variation in the internal jugular vein does not predict fluid responsiveness in the prone position during adolescent idiopathic scoliosis surgery: a prospective cohort study.BMC anesthesiology · 2023Trial
- Ultrasound Assessment of Internal Jugular Vein Distensibility as a Marker of Residual Congestion in Acute Decompensated Heart Failure.Life (Basel, Switzerland) · 2026Article
- Internal jugular vein collapsibility does not predict fluid responsiveness in spontaneously breathing patients after cardiac surgery.Journal of clinical monitoring and computing · 2023Observational
- Article
- Novel Methods for Predicting Fluid Responsiveness in Critically Ill Patients-A Narrative Review.Diagnostics (Basel, Switzerland) · 2022Review
- Use of ultrasound-measured internal jugular vein collapsibility index to determine static intracardiac pressures in patients with presumed pulmonary hypertension.Annals of intensive care · 2019Article
- Pre-anesthetic ultrasonographic assessment of the internal jugular vein for prediction of hypotension during the induction of general anesthesia.Journal of anesthesia · 2019Article
- Internal jugular vein variability predicts fluid responsiveness in cardiac surgical patients with mechanical ventilation.Annals of intensive care · 2018Article
- Prediction of Fluid Responsiveness Based on the External Jugular Vein Distensibility Index After Changes in Volume Status in Healthy, Anesthetized, and Mechanically Ventilated Dogs.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)Article
- Jugular vein distensibility, a noninvasive parameter of fluid responsiveness?Revista Brasileira de terapia intensivaArticle
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether the respiratory variation of the inferior vena cava diameter (∆DIVC) and right internal jugular vein diameter (∆DRIJ) are correlated in mechanically ventilated patients.
methodsThis study was a prospective clinical analysis in an intensive care unit at a university hospital. Thirty-nine mechanically ventilated patients with hemodynamic instability were included. ∆DIVC and ∆DRIJ were assessed by echography. Vein distensibility was calculated as the ratio of (A) Dmax--Dmin/Dmin and (B) Dmax--Dmin/ mean of Dmax--Dmin and expressed as a percentage.
results∆DIVC and ∆DRIJ were correlated by both methods: (A) r = 0.34, p = 0.04 and (B) r = 0.51, p = 0.001. Using 18% for ∆DIVC, indicating fluid responsiveness by method (A), 16 patients were responders and 35 measurements showed agreement (weighted Kappa = 0.80). The area under the ROC curve was 0.951 (95%CI 0.830 - 0.993; cutoff = 18.92). Using 12% for ∆DIVC, indicating fluid responsiveness by method (B), 14 patients were responders and 32 measurements showed agreement (weighted Kappa = 0.65). The area under the ROC curve was 0.903 (95%CI 0.765 - 0.973; cut-off value = 11.86).
conclusionThe respiratory variation of the inferior vena cava and the right internal jugular veins are correlated and showed significant agreement. Evaluation of right internal jugular vein distensibility appears to be a surrogate marker for inferior vena cava vein distensibility for evaluating fluid responsiveness.
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