Does Inferior Vena Cava Size Predict Right Atrial Pressures in Patients Receiving Mechanical Ventilation?

Jue, John; Chung, William S.; Schiller, Nelson B.

doi:10.1016/s0894-7317(14)80327-1

Cited by 168 publications

(87 citation statements)

References 15 publications

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“…The size and compressibility of the inferior vena cava has been suggested however this may be hard to quantify, and is inaccurate in mechanically ventilated patients [19]. We suggest a hybrid approach, in which a central venous pressure catheter could be used to provide the right atrial pressure supplementing the echocardiographic study.…”

Section: Echocardiography-the Alternative For Hemodynamic Measurementsmentioning

confidence: 99%

Echo is the preferred modality for hemodynamic monitoring in the cardiac intensive care unit

Steiner¹,

Hasin²

2012

WJCD

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The PAC has enabled major advances in understanding cardiac hemodynamics and pathophysiology. However its clinical utility is limited by data interpretation and serious complications. Echocardiography provides a useful alternative for hemodynamic assessment as well as identification of important concomitant findings. The combination of echocardiography with insertion of a central venous pressure catheter may be the optimal combination for hemodynamic monitoring.

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Section: Echocardiography-the Alternative For Hemodynamic Measurementsmentioning

confidence: 99%

Echo is the preferred modality for hemodynamic monitoring in the cardiac intensive care unit

Steiner¹,

Hasin²

2012

WJCD

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“…Si el paciente está en ventilación mecánica (VM), la correlación entre el tamaño de la VCI y la PVC es bajo (14)(15)(16) . Sin embargo, un diámetro de la VCI menor de 10 mm puede predecir una respuesta positiva a la infusión de líquido (17) .…”

Section: Vci Como Parámetro Estáticounclassified

Descifrando la Vena Cava Inferior

Cateriano¹,

Ulloa²

2018

HorizMed

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RESUMENLa ecografía es a día de hoy una herramienta muy importante para el médico intensivista, cuyo uso se va difundiendo cada vez más. Sin embargo, no basta con adquirir las habilidades técnicas para su realización, sino que también, y quizá más importante, hay que saber interpretar los hallazgos que encontremos, para lo cual un adecuado conocimiento de la fisiología o fisiopatología subyacente es fundamental. Tal es el caso de la comprensión de los mecanismos o fuerzas involucradas en la distensión y colapso de la vena cava inferior con el fin de darle una adecuada aplicación clínica a las imágenes que obtenemos cuando analizamos esta variable.Palabras clave: Ecografía; vena cava inferior; distensión; colapso; fisiología (Fuente: DeCS BIREME). Decoding the inferior vena cava ABSTRACTNowadays ultrasonography is a very important tool for intensive care physicians, the use of which is spreading more and more. However, it is not enough to acquire the technical skills to perform it, but also -and perhaps more importantly-we must know how to interpret the findings, for which an adequate knowledge of physiology or underlying pathophysiology is critical. Such is the case of understanding the mechanisms or forces involved in the distension and collapse of the inferior vena cava, in order to provide an adequate clinical application to the images we get when we analyze this variable.

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“…(18) Many studies have also incorporated the IVC measurements in the diagnosis and prediction of various diseases and pathological states. (5,8,9,13) The large amount of literature available emphasises and drives home the message that IVC diameter and other IVC parameters are of considerable importance in predicting changes in various pathologic conditions. The few studies that have been undertaken worldwide have either included too small sample volume to be statistically accurate or have been conducted upon people of Caucasian or Malay origin.…”

Section: Fig 4b: Bmi and Gender Wise Distribution Of Total Study Popmentioning

confidence: 99%

“…The ratios of IVC to aorta diameters are lower in patients with dehydration. (3) IVC measurements serve as an indirect measure of right atrial pressure (4,5,6) and central venous pressure. (6) Respiratory variation of IVC diameter is less in patients with congestive cardiac failure compared to patients with euvolaemic dyspnoea.…”

Section: Introductionmentioning

confidence: 99%

Measurement of Inferior Vena Cava Parameters in the Normal Adult Indian Population Using Transabdominal Ultrasound: A Standardisation Study

Gnanasekaran¹,

Neelakandan²,

Subbaraman³

et al. 2016

jebmh

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BACKGROUNDThe study was undertaken with a view to determine various inferior vena cava (IVC) parameters such as diameter in inspiration, in expiration, the mean diameter, and the collapsibility index using transabdominal ultrasound (TAS), and thus define the normal range of values for Indian population and derive nomogram values. The study was also undertaken to highlight the variations in the IVC parameters in accordance with various determinants such as age, gender, height, weight, body surface area and body mass index in the study group.

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Does Inferior Vena Cava Size Predict Right Atrial Pressures in Patients Receiving Mechanical Ventilation?

Cited by 168 publications

References 15 publications

Echo is the preferred modality for hemodynamic monitoring in the cardiac intensive care unit

Echo is the preferred modality for hemodynamic monitoring in the cardiac intensive care unit

Descifrando la Vena Cava Inferior

Measurement of Inferior Vena Cava Parameters in the Normal Adult Indian Population Using Transabdominal Ultrasound: A Standardisation Study

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