Evidence map›Paper›PMID 39383993›Full record

Observational studyBrazilian journal of anesthesiology (Elsevier)

Assessment of superior vena cava diameter and collapsibility index in liver transplantation: a prospective observational study.

Maged Y Argalious, Sven Halvorson, John Seif, Sandeep Khanna, Mi Wang, Jacek B Cywinski

Abstract readObservational Study
In one paragraph

Observational study in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maged Y ArgaliousCleveland Clinic, Integrated Hospital Care Institute, Department of Anesthesiology, Multispecialty Anesthesiology, Cleveland, USA. Electronic address: argalim@ccf.org.
Sven HalvorsonUniversity of Oregon, Prevention Science Institute, Oregon, USA.
John SeifCleveland Clinic, Integrated Hospital Care Institute, Department of Anesthesiology, Multispecialty Anesthesiology, Cleveland, USA.
Sandeep KhannaCleveland Clinic, Integrated Hospital Care Institute, Department of Anesthesiology, Multispecialty Anesthesiology, Cleveland, USA.
Mi WangCleveland Clinic, Integrated Hospital Care Institute, Department of Anesthesiology, Multispecialty Anesthesiology, Cleveland, USA.
Jacek B CywinskiCleveland Clinic, Integrated Hospital Care Institute, Department of Anesthesiology, Multispecialty Anesthesiology, Cleveland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuperior Vena Cava (SVC) diameter and collapsibility index, dynamic measures of fluid responsiveness, have been successfully utilized as echocardiographic indices for fluid responsiveness in ventilated septic patients. Whether these measurements are correlated with Central Venous Pressure (CVP) measurements in liver transplant patients is unknown. We sought to assess the correlation of maximum and minimum SVC diameter and SVC collapsibility index measurements obtained intraoperatively by Transesophageal Echocardiography (TEE) with those of simultaneously recorded CVP measurements obtained through a right atrial port of a pulmonary artery catheter. The secondary aim of the study was to assess the correlation between SVC measurements and simultaneously obtained thermodilution cardiac index measurements.

methodsSingle center prospective observational trial of patients with end stage liver disease undergoing liver transplantation in an academic tertiary care center.

resultsThe minimum SVC exhibited a mild significant correlation with CVP as did the maximum SVC. The correlation between the SVC collapsibility index and CVP was not significantly different from zero. In our secondary analysis, the correlation between minimum SVC diameter and cardiac index was determined to be weak but non-zero as was the correlation between the maximum SVC diameter and cardiac index. The correlation between SVC collapsibility index and cardiac index was not different from zero.

conclusionWhile statistically significant, the weak clinical correlation of intraoperative SVC measurements obtained by TEE make them unsuitable as a replacement for central venous pressure or thermodilution cardiac index measurements in liver transplant recipients.

Indexed as

Central Venous PressureEchocardiography, TransesophagealLiver TransplantationVena Cava, SuperiorAdultAgedCatheterization, Swan-GanzEnd Stage Liver DiseaseFemaleHumansMaleMiddle AgedProspective StudiesThermodilutionCentral venous pressureEchocardiographyLiver transplantationSuperiorVena cava

Identifiers

PMID39383993
PMCPMC11693420

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Registered trials

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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.