Evidence map›Paper›PMID 35416439›Full record

ArticleAnaesthesiology intensive therapy2022

Ultrasound imaging and central venous pressure in spontaneously breathing patients: a comparison of ultrasound-based measures of internal jugular vein and inferior vena cava.

Nicola Parenti, Luca Bastiani, Cesare Tripolino, Igor Bacchilega

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Article in Anaesthesiology intensive therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

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9citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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9 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nicola ParentiDepartment of Internal Medicine, Ospedale Maggiore "Carlo Alberto Pizzardi", Bologna, Italy.
Luca BastianiInstitute of Clinical Physiology, Italian National Research Council, Pisa, Italy.
Cesare TripolinoDepartment of Internal Medicine, "San Giovanni di Dio" Hospital, Crotone, Italy.
Igor BacchilegaDepartment of Anesthesia, "Santa Maria della Scaletta" Hospital, Imola, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrasound evaluation of inferior vena cava and internal jugular vein dia-meters predicts the intravascular volume status in critical patients. The aim of the present study was to determine which ultrasound-derived index is most strongly associated with central venous pressure (CVP). Furthermore, we determined the utility of selected variables in predicting low volume status (CVP < 8 mmHg).

methodsAll patients underwent a transthoracic echocardiogram, vascular ultrasound examination, invasive central venous pressure, and intra-abdominal pressure determination. The following indexes were calculated: inferior vena cava diameter, internal jugular vein maximum diameter, collapsibility index, and internal jugular vein ratio.

results41 spontaneously breathing patients were recruited. Central venous pressure significantly correlated with inferior vena cava diameter ( r = 0.35, P = 0.02), internal jugular vein ratio ( r = 0.35, P = 0.03), and internal jugular vein maximum diameter ( r = 0.58, P < 0.001). The inferior vena cava collapsibility index did not show any association. The areas under the receiver operating characteristic curves to discriminate a low central venous pressure (< 8 mmHg) were the following: internal jugular vein diameter 0.80 (95% CI: 0.63-0.90); inferior vena cava diameter 0.66 (95% CI: 0.49-0.80); and internal jugular vein ratio 0.68 (95% CI: 0.51-0.82).

conclusionsThe internal jugular vein diameter, the internal jugular vein ratio, and the inferior vena cava diameter showed a significant correlation with central venous pressure. In particular, the internal jugular vein diameter showed good accuracy in predicting a low central venous pressure.

Indexed as

Jugular VeinsVena Cava, InferiorCentral Venous PressureEchocardiographyHumansUltrasonographyinferior vena cavainternal jugular veinspontaneously breathing patientsultrasound

Identifiers

PMID35416439
PMCPMC10156504

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.