A Comparison between the Bedside Sonographic Measurements of the Inferior Vena Cava Indices and the Central Venous Pressure While Assessing the Decreased Intravascular Volume in Children
| Autor: | Azita Behzad, Masoud Mohammadpour, Sharareh Babaie, Mohsen Reisi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hemodynamics lcsh:Medicine 030204 cardiovascular system & hematology Inferior vena cava 03 medical and health sciences 0302 clinical medicine Bedside ultrasound Internal medicine medicine.artery medicine Intravascular volume status intravascular volume lcsh:QH301-705.5 inferior vena cava indexes Aorta business.industry Critically ill lcsh:R Central venous pressure 030208 emergency & critical care medicine General Medicine medicine.vein lcsh:Biology (General) central venous pressure measurement Cardiology cardiovascular system Original Article business Perfusion Decreased Intravascular Volume |
| Zdroj: | Advanced Biomedical Research, Vol 7, Iss 1, Pp 97-97 (2018) Advanced Biomedical Research |
| ISSN: | 2277-9175 |
| Popis: | Background: Hemodynamic monitoring is an essential part in the treatment of critically ill patients. Establishment of intravascular volume and creation of a normal systemic perfusion are the most important part to reduce the risk of organ failure and mortality. This study aimed to determine the correlation between the inferior vena cava (IVC) sonographic indices and the central venous pressure (CVP) to provide a useful guide for noninvasive intravascular volume status assessment in children. Materials and Methods: Target sample of children who were admitted to the pediatric critical care unit and required CVP monitoring were enrolled in this study. The collapsibility index (CI) and IVC/aorta (AO) ratio, from bedside ultrasonography measurement of the IVC, were calculated. Results: Of the 70 participants, 22 patients (31.4%) revealed a CVP of 8 mm/Hg or less and 48 patients (68.6%) revealed a CVP >8 mm/Hg. Fifty-six patients (80%) had an IVC-CI of 0.5 or greater and 17 patients (24.3%) had an IVC/AO of 0.8 or less. IVC-CI index is 45.5% sensitive and 91.7% specific with positive predictive value of 71.4 and negative predictive value of 78.6 to predict CVP |
| Databáze: | OpenAIRE |
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