The Relation Between Common Carotid Artery Diameter and Central Venous Pressure for Assessment of Intravascular Fluid Status after Major Surgeries; an Observational Study
| Autor: | Samaa Rashwan, Ahmed Rabea Mohammed, Ashraf Abd Elmawgood Bassiouny, Ahmed A. Badawy |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fluid administration Central Venous Pressure 030204 cardiovascular system & hematology Positive correlation 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery Ultrasound parasitic diseases Area under curve medicine 030212 general & internal medicine Common carotid artery Receiver operating characteristic business.industry Central venous pressure Anesthesiology and Pain Medicine cardiovascular system Breathing Cardiology Common Carotid Artery business Research Article |
| Zdroj: | Anesthesiology and Pain Medicine |
| ISSN: | 2228-7531 2228-7523 |
| DOI: | 10.5812/aapm.105138 |
| Popis: | Objectives: The current study aimed to find the relation between the changes in the common carotid artery (CCA) diameter and the central venous pressure (CVP) in response to a fluid challenge in spontaneously breathing adult patients. Methods: This study included 65 adult patients aged 20 - 60 years who were admitted to the surgical ICU. The CCA diameter and CVP were measured before and after fluid challenge, and the percentage of increase in the CCA diameter and CVP were calculated. The correlation was assessed between changes in the CVP and CCA diameter. Results: The CCA diameter before fluid administration had a significant strong positive correlation to the CVP (r = 0.8, P value < 0.001); the increase in the CCA diameter after fluid administration had a significant moderate positive correlation with the increase in the CVP (r = 0.4, P value < 0.001). The percentage of increase in CCA diameters was positively correlated to the percentage of increase in CVP (r = 0.589, P value = 0.001) following fluid administration. However, the Receiver Operating Characteristic (ROC) analysis was an invalid test (area under curve 0.513, P value = 0.885). Conclusions: After major surgeries, the change in the CCA diameter was positively correlated with the change in the CVP values in response to fluid administration in the spontaneously breathing adult patients, but the cut-off limit cannot be reached. |
| Databáze: | OpenAIRE |
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