ArticleInternational journal of critical illness and injury science
Inferior vena cava diameter as a guide in hypotensive patients for appropriate saline therapy: An observational study.
Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 8 citations in OpenAlex.
- The Utility of Echocardiography in Estimating Fluid Responsiveness.Journal of clinical medicine research · 2024Review
- Inferior vena cava collapsibility index and trauma severity in elderly fall injuries.Revista da Associacao Medica Brasileira (1992) · 2024Article
- Utilization of Ultrasound to Assess Volume Status in Heart Failure.Journal of clinical medicine research · 2020Review
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4 authors at 1 institution in 1 country.
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Abstract
backgroundKnowledge of intravascular volume (IV) status of a hypotensive patient is of utmost importance. Clinical evaluation and central venous pressure (CVP) measurement are routinely used as a guide for evaluation of IV in these patients. However, clinical assessment may be inaccurate, and CVP measurement is invasive. Moreover, CVP changes slowly with saline therapy, which is unfavorable for fluid resuscitation.
aimOur aim is to find the correlation and sensitivity of inferior vena cava (IVC) diameter measured by ultrasound to provide a noninvasive method for evaluation of IV among patients with hypotension and hypovolemia in the emergency department (ED).
methodsWe measured the IVC diameter of hypotensive patients before and after saline therapy. As all of the patients had central venous line (CV-line) in place, CVP was also measured before and after. Using MedCalc and SPSS software the correlation between these two was determined as expressed with "
resultsNinety-nine patients, 49 (49.5%) males, were evaluated. Mean systolic blood pressure was 90 mmHg with a mean hazard ratio about 104. IVC diameter was 7.44 ± 5.13 mm before and 9.84 ± 5.29 after (
conclusionIVC diameter measurement using ultrasonography has excellent correlation with CVP. This method is very sensitive to rapid IV changes thus useful to guide saline therapy in hypotensive patients referred to ED. However, its use in certain subsets of patients' needs further studies.
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