The role of right ventricular volumes and inferior vena cava diameters in the evaluation of volume status before colonoscopy
| Autor: | Ahmet Topal, Mehmet Asil, Çağdaş Dağli, Mustafa Koyuncu, Ramazan Dertli, Sule Arican, Sema Tuncer Uzun, Gulcin Hacibeyoglu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Mean arterial pressure hypotension Heart Ventricles Colonoscopy hypotension ultrasonography Colonoscopy Vena Cava Inferior 030204 cardiovascular system & hematology Inferior vena cava Article 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Internal medicine medicine Intravascular volume status Humans In patient Anesthesia Aged Anesthetics 0303 health sciences medicine.diagnostic_test 030306 microbiology business.industry General Medicine ultrasonography Middle Aged Blood pressure medicine.anatomical_structure medicine.vein Ventricle Echocardiography Cardiology cardiovascular system Female Ultrasonography business |
| Zdroj: | Turkish Journal of Medical Sciences Volume: 49, Issue: 6 1606-1613 |
| ISSN: | 1303-6165 1300-0144 |
| Popis: | Background/aim: Ultrasonographic measurements of inferior vena cava (IVC) diameters and right ventricle (RV) volumes are important tools for the evaluation of intravascular volume. The current study investigates the association of IVC diameters and RV volumes before colonoscopy in prediction of postanesthesia hypotension.Materials and methods: Seventy patients scheduled for colonoscopy were included in the study. Preoperatively, expirium (dIVC max) and inspirium (dIVC min) IVC diameters were measured using M-mode ultrasonography and the collapsibility index (IVC-CI) was calculated. Ventricular volumes and areas were also measured using transthoracic echocardiography. Postanesthesia hypotension was defined as mean arterial blood pressure of 30% in the mean arterial pressure after sedation.Results: Minimum and maximum IVC diameters were significantly lower (P = 0.005 and P < 0.001, respectively) and IVC-CI was significantly higher (P < 0.001) in patients who developed hypotension. Similarly, right ventricular end-diastolic area (RV-EDA), right ventricular end-systolic area (RV-ESA), right ventricular end-diastolic volume (RV-EDV), right ventricular end-systolic volume (RV-ESV), and left ventricular end-systolic volume (LV-ESV) values were significantly lower in patients with hypotension (P < 0.05). Logistic regression analysis showed that dIVC min and RV-ESA were independent predictors of hypotension.Conclusion: IVC diameters and RV-ESA, RV-EDA, RV-ESV, and RV-EDV are good indicators of preoperative volume status and can be used to predict the patients at risk of developing hypotension. |
| Databáze: | OpenAIRE |
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