Central venous pressure, global end-diastolic index, and the inferior vena cava collapsibility/distensibility indices to estimate intravascular volume status in critically ill children: A pilot study

Aslan, Nagehan; Yıldızdaş, Dinçer; Horoz, Özden Özgür; Çoban, Yasemin; Arslan, Didar; Sertdemır, Yaşar

doi:10.1016/j.aucc.2020.08.005

Cited by 8 publications

(13 citation statements)

References 41 publications

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“…Ultrasound-derived parameters of the inferior vena cava (IVC) have been used to predict PIH ( 3 ). The best performing variable among these parameters is the IVC collapsibility index (IVC-CI, calculated as (dIVC max –dIVC min )/dIVC max , where dIVC max and dIVC min represent the maximum and minimum IVC diameter at the end-expiration and inspiration, respectively) ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

Maximum inferior vena cava diameter predicts post-induction hypotension in hypertensive patients undergoing non-cardiac surgery under general anesthesia: A prospective cohort study

Zhang

Gao²,

Xiang³

et al. 2022

Front. Cardiovasc. Med.

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BackgroundInferior vena cava (IVC) ultrasonography is a reliable variable that predicts post-induction hypotension (PIH) in patients undergoing surgery under general anesthesia. However, in patients with hypertension, the predictive performance of ultrasound IVC measurements needs further exploration.MethodsThis is a prospective cohort study. Adult patients with existing hypertension scheduled to undergo non-cardiac surgery under general anesthesia were eligible. An abdominal ultrasound examination was conducted immediately prior to anesthesia induction (0.03 mg kg–1 midazolam, 0.3 mg kg–1 etomidate, 0.4 μg kg–1 sufentanil, and 0.6 mg kg–1 rocuronium). IVC collapsibility index (IVC-CI) was calculated as (dIVCmax–dIVCmin)/dIVCmax, where dIVCmax and dIVCmin represent the maximum and minimum IVC diameters at the end of expiration and inspiration, respectively. PIH was defined as a reduction of mean arterial pressure (MAP) by >30% of the baseline or to <60 mmHg within 10 min after endotracheal intubation. The diagnostic performance of IVC-CI, dIVCmax, and dIVCmin in predicting PIH was also examined in a group of normotensive patients receiving non-cardiac surgery under the same anesthesia protocol.ResultsA total of 51 hypertensive patients (61 ± 13 years of age, 31 women) and 52 normotensive patients (42 ± 13 years of age, 35 women) were included in the final analysis. PIH occurred in 33 (64.7%) hypertensive patients and 19 (36.5%) normotensive patients. In normotensive patients, the area under the receiver operating curve (AUC) in predicting PIH was 0.896 (95% confidence interval [CI]: 0.804–0.987) for IVC-CI, 0.770 (95% CI: 0.633–0.908) for dIVCmax, and 0.868 (95% CI: 0.773–0.963) for dIVCmin. In hypertensive patients, the AUC in predicting PIH was 0.523 (95% CI: 0.354–0.691) for IVC-CI, 0.752 (95% CI: 0.621–0.883) for dIVCmax, and 0.715 (95% CI: 0.571–0.858) for dIVCmin. At the optimal cutoff (1.24 cm), dIVCmax had 54.5% (18/33) sensitivity and 94.4% (17/18) specificity.ConclusionIn hypertensive patients, IVC-CI is unsuitable for predicting PIH, and dIVCmax is an alternative measure with promising performance.Clinical trial registration[http://www.chictr.org.cn/], identifier [ChiCTR2000034853].

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Section: Introductionmentioning

confidence: 99%

Maximum inferior vena cava diameter predicts post-induction hypotension in hypertensive patients undergoing non-cardiac surgery under general anesthesia: A prospective cohort study

Zhang

Gao²,

Xiang³

et al. 2022

Front. Cardiovasc. Med.

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“…Adequate fluid therapy can prevent organ failure and reduce mortality; it is important for maintaining cardiovascular function; therefore, intraoperative monitoring of circulation volume is important. 6 There are several methods for monitoring the circulating volume. Cardiac output (CO), cardiac index, and volume status can be measured using pulse index contour CO.…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac output (CO), cardiac index, and volume status can be measured using pulse index contour CO. This method is very accurate, and an accurate volume status of the patient can be obtained through the global end‐diastolic index; however, it is an invasive method, 6 and it was difficult to use because the device was not available at this center. Alternatively, the FloTrac system can be used to measure CO, systemic vascular resistance, and stroke volume variation (SVV).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Monitoring of hemodynamic changes during huge cystic lymphangioma resection in a 91‐day‐old infant

Kim

Lee

Eom

et al. 2021

Clinical Case Reports

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“…However, these methods are invasive, require intensive staffing, and carry an increased risk for iatrogenic complications and nosocomial infections. Studies comparing the inferior vena cava (IVC) indices, such as IVC diameter, IVC collapsibility index, and IVC to aorta diameter, have shown mixed text characteristics at predicting CVP less than 8 mmHg and global end-diastolic index as measured on PiCCO monitoring [36,37].…”

Section: Pediatric Updatementioning

confidence: 99%

Updates in pediatric ultrasound

Ruscica

Chen

2023

Current Opinion in Pediatrics

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Purpose of reviewPoint-of-care ultrasound (POCUS) has various diagnostic and therapeutic applications in the pediatric acute care setting that have an impact on clinical outcomes. Recent findingsPOCUS can improve diagnostic efficiency and expedite management in pediatric patients who present to the emergency department with common complaints such as respiratory distress, abdominal pain, shock, and pain. SummaryRapid advancements in POCUS have allowed it to become a powerful tool in pediatric care. As the clinical applications of ultrasound diversify, research is needed to evaluate impacts on healthcare outcomes, delivery, and costs.

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Central venous pressure, global end-diastolic index, and the inferior vena cava collapsibility/distensibility indices to estimate intravascular volume status in critically ill children: A pilot study

Cited by 8 publications

References 41 publications

Maximum inferior vena cava diameter predicts post-induction hypotension in hypertensive patients undergoing non-cardiac surgery under general anesthesia: A prospective cohort study

Maximum inferior vena cava diameter predicts post-induction hypotension in hypertensive patients undergoing non-cardiac surgery under general anesthesia: A prospective cohort study

Monitoring of hemodynamic changes during huge cystic lymphangioma resection in a 91‐day‐old infant

Updates in pediatric ultrasound

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