Internal Jugular Vein Ultrasonography in Prediction of Postspinal Hypotension

Kılıç, Yeliz; Baş, Sema Şanal; Kayhan, Gülay Erdoğan; Güleç, Mehmet Sacit

doi:10.29271/jcpsp.2020.12.1256

Cited by 5 publications

(3 citation statements)

References 2 publications

(3 reference statements)

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“…Current study showed a higher area under the curve regarding the rate of change in the diameter and area of the IJV which indicates higher sensitivity and specificity rates in comparison to Yeliz's study. 25 We also found that a rate of change of 12.36% in IJV diameter, and a rate of change of 25.55% in IJV area have the optimal combination of sensitivity and false positive (1specificity) rate. Differences in research population, surgical procedures and measured parameters may explain the variation in cut-off values recorded in their study.…”

Section: Discussionsupporting

confidence: 52%

“…However, participants were only young pregnant women which might be a limitation for generalizing their conclusion. 24 To the best knowledge of the author's, yeliz et al 25 conducted the study which evaluated the reliability of IJV sonographic parameters in the prediction of post spinal hypotension. Yeliz et al concluded that collapsibility index of IJV was a predictor of hypotension in young healthy adults undergoing different surgeries under spinal anesthesia with a cut-off value of 22.6%, whilst the present study differed from the mentioned study because it contained older patients undergoing orthopedic surgeries.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonographic Evaluation of Internal Jugular Vein for The Prediction of Post-Spinal Hypotension in Orthopedic Surgeries

Nofal¹,

Sabek

Hussien³

et al. 2023

Sri Lankan J Anaesthesiol

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Background: Relative hypovolemia may predispose to severe or prolonged hypotension after spinal anesthesia in patients undergoing orthopedic surgeries. Empirical administration of fluid preload is time consuming, costly and might lead to volume overload, especially in elderly patients. Therefore, predicting post spinal hypotension is of great importance to reserve fluid infusion for susceptible patients. Ultrasonographic evaluation of the internal jugular vein (IJV) diameter has been used to estimate intravascular volume in the ICU. Therefore, we investigated the efficacy of sonographic measurements of the internal jugular vein parameters for predicting post spinal hypotension in patients undergoing orthopedic surgeries. Methodology: The study was conducted on 62 patients scheduled for orthopedic surgeries. Sonographic measurements of IJV diameter and cross-sectional area were recorded at supine and Trendelenburg position before spinal anaesthesia. Blood pressure was monitored for 15 minutes for all patients and hypotension was documented. Results: Twenty-eight patients (45.2%) developed hypotension. The rate of increase in the diameter and cross-sectional area of the IJV with the change in patient’s posture was significantly higher in hypotensive patients. According to ROC curves analysis, a rate of increase of 12.36% in IJV diameter, and a rate of increase of 25.55% in IJV cross sectional area showed moderate specificity and sensitivity in the prediction of spinal hypotension. Conclusion: Preoperative sonographic measurements of the internal jugular vein diameter and crosssectional area at supine and Trendelenburg position can predict the occurrence of post-spinal hypotension.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Ultrasonographic Evaluation of Internal Jugular Vein for The Prediction of Post-Spinal Hypotension in Orthopedic Surgeries

Nofal¹,

Sabek

Hussien³

et al. 2023

Sri Lankan J Anaesthesiol

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“…The carotid artery respiratory variation of peak blood flow velocity was assessed in three studies [14,47,50]. IJV(internal jugular vein) was reported in four studies [36,37,49,51], but only two studies [37,49] measured IJV-area in Trendelenburg position, one study [37] measured IJV-area in supine position, one study [51] measured DIJV-CI in Trendelenburg position, one study [36] measured DIJV-CI in supine position, and one study [37] measured IJV change rate with posture (Trendelenburg and supine position). Four studies [27,45,46,52] recorded the SCV (subclavian vein).…”

Section: Other Ultrasound Measurementsmentioning

confidence: 99%

Preoperative Ultrasound for the Prediction of Postinduction Hypotension: A Systematic Review and Meta-Analysis

Liu,

An,

Liu

2024

JPM

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Postinduction hypotension (PIH) is closely associated with postoperative adverse outcomes. Preoperative hypovolemia is a key risk factor, and many parameters are available from ultrasound to detect hypovolemia, but the accuracy of PIH from ultrasound remains unclear. This systematic review and meta-analysis aimed to evaluate the commonly used measurements from ultrasound to predict PIH. We searched the PubMed, Cochrane Library, Embase, CNKI, and Web of Science databases from their inception to December 2023. Thirty-six studies were included for quantitative analysis. The pooled sensitivities for the inferior vena cava collapsibility index (IVC-CI), maximum inferior vena cava diameter (DIVCmax), minimum inferior vena cava diameter (DIVCmin), and carotid artery corrected flow time (FTc) were 0.73 (95% CI = 0.65, 0.79), 0.66 (95% CI = 0.54, 0.77), 0.74 (95% CI = 0.60, 0.85), and 0.81 (95% CI = 0.72, 0.88). The pooled specificities for the IVC-CI, DIVCmax, DIVCmin, and carotid artery FTc were 0.82 (95% CI = 0.75, 0.87), 0.75 (95% CI = 0.66, 0.82), 0.76 (95% CI = 0.65, 0.84), and 0.87 (95% CI = 0.77, 0.93). The AUC for the IVC-CI, DIVCmax, DIVCmin, and carotid artery FTc were 0.84 (95% CI = 0.81, 0.87), 0.77 (95% CI = 0.73, 0.81), 0.82 (95% CI = 0.78, 0.85), and 0.91 (95% CI = 0.88, 0.93). Our study demonstrated that ultrasound indices are reliable predictors for PIH. The carotid artery FTc is probably the optimal ultrasound measurement for identifying patients who will develop PIH in our study.

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Pre-anaesthetic ultrasonographic assessment of neck vessels as predictors of spinal anaesthesia induced hypotension in the elderly: A prospective observational study

Abdelhamid

Ahmed

Ramzy

et al. 2022

Egyptian Journal of Anaesthesia

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Internal Jugular Vein Ultrasonography in Prediction of Postspinal Hypotension

Abstract: Objective: To determine the role of internal jugular vein (IJV) ultrasonography to predict postspinal hypotension in patients undergoing elective surgery.

Cited by 5 publications

References 2 publications

Ultrasonographic Evaluation of Internal Jugular Vein for The Prediction of Post-Spinal Hypotension in Orthopedic Surgeries

Ultrasonographic Evaluation of Internal Jugular Vein for The Prediction of Post-Spinal Hypotension in Orthopedic Surgeries

Preoperative Ultrasound for the Prediction of Postinduction Hypotension: A Systematic Review and Meta-Analysis

Pre-anaesthetic ultrasonographic assessment of neck vessels as predictors of spinal anaesthesia induced hypotension in the elderly: A prospective observational study

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