SynthesisCanadian journal of anaesthesia = Journal canadien d'anesthesie2024
Inferior vena cava ultrasound to predict hypotension after general anesthesia induction: a systematic review and meta-analysis of observational studies.
Synthesis in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preoperative patient risk factors for intraoperative hypotension: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Preventing intraoperative hypotension in propofol-sedated gastroenteroscopy: a randomized trial of crystalloid preloading.Surgical endoscopy · 2026Article
- Preoperative inferior vena cava ultrasound for volume optimization in resection of functioning pheochromocytoma and paraganglioma: association with perioperative adverse outcomes in a prospective observational cohort.Frontiers in endocrinology · 2026Observational
- Intraoperative Management of Liquids in Liposuction Based on the Variability of the Inferior Vena Cava.Plastic and reconstructive surgery. Global open · 2025Article
- Preoperative TAPSE/PASP Ratio as a Non-Invasive Predictor of Hypotension After General Anesthesia Induction.Diagnostics (Basel, Switzerland) · 2025Article
- In reply: Point-of-care ultrasound-guided fluid management to prevent hypotension after induction of general anesthesia-a conundrum to conquer!Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Role of the inferior vena cava collapsibility index in predicting propofol-induced hypotension in patients undergoing colonoscopy.BMC anesthesiology · 2025Article
- Inferior vena cava collapsibility index: a unique point-of-care ultrasound tool to assess postinduction hypotension?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- In reply: Efficacy of erector spinae plane block for postoperative analgesia after minimally invasive cardiac surgery.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Point-of-care ultrasound of the internal jugular vein for the prediction of spinal anesthesia-induced hypotension in elderly dehydrated patients.Journal of anaesthesiology, clinical pharmacologyArticle
- Bringing ICU technologies to the operating room: Transforming patient care?Journal of anaesthesiology, clinical pharmacologyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHypotension after induction of general anesthesia is common and is associated with significant adverse events. Identification of patients at high risk can inform the use of preoperative mitigation strategies. We conducted a systematic review and meta-analysis to assess the diagnostic accuracy of the inferior vena cava collapsibility index (IVC-CI) and maximal diameter (dIVC
methodsWe searched MEDLINE, PubMed®, and Embase from inception to March 2023 for prospective observational studies exploring the performance of IVC-CI and dIVC
resultsWe included 14 studies involving 1,166 patients. Pooled sensitivity and specificity of the IVC-CI to predict postinduction hypotension was 0.68 (95% confidence interval [CI], 0.55 to 0.79; coverage probability, 0.91) and 0.78 (95% CI, 0.69 to 0.85; coverage probability, 0.9), respectively, with an HSROC-AUC of 0.80 (95% CI, 0.68 to 0.85, high quality of evidence). An IVC-CI threshold range of 40-45% had an HSROC-AUC of 0.86 (95% CI, 0.69 to 0.93, high quality of evidence).
conclusionsPreoperative IVC-CI is a strong predictor of postinduction hypotension. We recommend that future studies use an IVC-CI threshold of 40-45% (low certainty of evidence). Future studies are needed to establish whether ultrasound-guided preoperative optimization improves outcomes in high-risk patients. STUDY REGISTRATION: PROSPERO ( CRD42022316140 ); first submitted 10 March 2022.
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Registered trials
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.