2022
DOI: 10.1016/j.jcrc.2022.154108
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Agreement between subcostal and transhepatic longitudinal imaging of the inferior vena cava for the evaluation of fluid responsiveness: A systematic review

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Cited by 26 publications
(29 citation statements)
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“…In such case, there was not a clear trend, indicating that dispersion and differences is constant in all ranges of IVCc estimates. In concordance with the above-mentioned systematic review [ 23 ], the present results suggest that IVCc obtained in M-mode from SC view is greater than the M-mode finding gathered with TH approach. Therefore, it seems that the IVC collapses more in antero-posterior direction rather than in the latero-lateral one.…”
Section: Discussionsupporting
confidence: 92%
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“…In such case, there was not a clear trend, indicating that dispersion and differences is constant in all ranges of IVCc estimates. In concordance with the above-mentioned systematic review [ 23 ], the present results suggest that IVCc obtained in M-mode from SC view is greater than the M-mode finding gathered with TH approach. Therefore, it seems that the IVC collapses more in antero-posterior direction rather than in the latero-lateral one.…”
Section: Discussionsupporting
confidence: 92%
“…Regarding the second part of the study, results of IVCc obtained in SC were compared with those recorded in TH approach. As suggested by a recent systematic review that included seven studies in different cohorts of volunteers or patients (spontaneously breathing, mechanically ventilated, hybrid) [ 23 ], the results of SC and TH imaging for IVCc may be significantly different and not truly interchangeable, with IVC variation that seems usually greater in the antero-posterior direction rather than in the latero-lateral axis. Our study points in the same direction as we found a mean bias of ~ 14% for the M-mode assessment of the IVCc taken at the two different anatomical sites; moreover, we found significant dispersion with a very large LoA range of ~ 64%.…”
Section: Discussionmentioning
confidence: 99%
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“…The limits of agreement between the two approaches in the Bland-Altman analysis exceeded 20% denoting low level of precision and interchangeability. Similar to our findings, previous studies had reported acceptable correlation but poor agreement between the IVC dimensions via the two approaches (4). The subxiphoid approach to IVC might be affected be the lateral displacement of the IVC during respiration, which simulates false reduction in the IVC size and accounts for the difference between the two approaches for measurement (16).…”
Section: Discussionsupporting
confidence: 90%
“…The transhepatic view for IVC had been considered as a feasible alternative for the standard subxiphoid approach. The limits of agreement between the two approaches, subcostal and transhepatic, for IVC measurement are wide, making the two views not interchangeable (4). Nevertheless, the transhepatic approach might be useful in detecting fluid responsiveness; however, this point had not been adequately investigated.…”
Section: Introductionmentioning
confidence: 99%