Central venous pressure correlates with inferior vena cava collapsibility index in patients treated in intensive care unit

Wiryana, Made; Sinardja, I Ketut; Aryabiantara, I Wayan; Senapathi, Tjokorda GdeAgung; Widnyana, I Made Gede; Aribawa, I Gusti Ngurah Mahaalit; Hartawan, I Gusti Agung Gede Utara; Parami, Pontisomaya; Angin, Emkel Perangin

doi:10.15562/bjoa.v1i1.2

Cited by 3 publications

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References 5 publications

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“…They reported that for fluid resuscitation, CVP and IVC CI are inversely correlated and US could be helped as an efficient modality to detect fluid resuscitation. Wiryana et al [18] found that the median CVP, the median of maximum IVCD, and the median of IVC-CI were 11 cmH2O, 1.67 mm and 29.6% correspondingly. They revealed a strong significant negative association between CVP and IVC-CI (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

Inferior Vena Cava Collapsibility Index versus Central Venous Catheter for Early Detection of Hypovolemia in abdominal Trauma

2024

The Egyptian Journal of Hospital Medicine

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Background: Abdominal trauma has been considered as a significant cause of morbidity and mortality, necessitating prompt and accurate assessment of fluid status and hypovolemia. The inferior vena cava (IVC) collapsibility index and central venous catheter (CVC) have emerged as potential tools for fluid assessment in trauma patients.Objective: This study aimed to evaluate the utility of the IVC collapsibility index (IVC-CI) in assessing fluid status and hypovolemia in patients with abdominal trauma. Patients and Methods: A cross-sectional study that is conducted on 67 trauma patients attended to the Emergency Department (ED) with hypovolemia state to compare IVC-CI with central venous pressure (CVP) as early indicator of hypovolemia in abdominal trauma patients. The diameter of the IVC, the central venous pressure, and the IVC-CI were recorded before and after fluid resuscitation. Results: IVC-CI has decreased from base line to follow up after fluid from 54.55 ± 15.23 to 45.06 ± 13.81. IVC-CI has negative association with central venous pressure at base line (P<0.001). IVC-CI has a negative association with urine output (UOP) at baseline (P<0.001). IVC-CI has negative association with central venous pressure and urine output at follow-up (P<0.001). Conclusion: IVC-CI had a strong statistically significant inverse association with central venous pressure. IVC-CI was found to be more predictive of fluid responsiveness and early hypovolemic state when compared to central venous pressure. So, the study supported the use of the IVC-CI and CVC as reliable markers for assessing fluid status and hypovolemia in abdominal trauma patients.

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Section: Discussionmentioning

confidence: 99%

Inferior Vena Cava Collapsibility Index versus Central Venous Catheter for Early Detection of Hypovolemia in abdominal Trauma

2024

The Egyptian Journal of Hospital Medicine

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Inferior Vena Cava Collapsibility Index and Central Venous Pressure for Fluid Assessment in the Critically Ill Patient

Dodhy

2021

J Coll Physicians Surg Pak

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Echocardiographic Evaluation of Central Venous Pressure Using Inferior Vena Cava Characteristics: An Estimate Guide for Right Atrial Pressure in Intensive Care Unit

Hussein,

Mohammad,

Essa

2024

Journal of Cardiovascular Echography

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Background: Central venous pressure (CVP) is a good approximation of right atrial pressure (RAP), which in turn is a major determinant of right ventricular filling. The inferior vena cava (IVC) is a compliant vessel whose size and shape vary with changes in CVP. IVC diameter and Collapsibility Index (CI) assessed by echocardiography are used as indirect indicators for the estimation of RAP. Aim of the Study: To evaluate the correlation between IVC echocardiographic characteristics and CVP and RAP and the value of assessment of IVC as a guide for the status of the right side of the heart. Patients and Methods: A total of sixty patients (male and female) above 18 years of age, who were admitted in the intensive care unit, were enrolled in this single-center, descriptive cross-sectional study. Echocardiographic assessment of IVC hemodynamics (IVC expiratory [IVCe] and inspiratory [IVCi] diameters and IVC-CI) were carried out. In addition to standard echocardiographic examination, right heart function measurements (Tricuspid annular plane systolic excursion [TAPSE] and right atrial [RA] area) in spontaneously and mechanically ventilated patients were done. Results: The average age of the patients was 62 years (18–80 years). Overall, 45% (n = 27) were male and 55% (n = 33) were female. The breathing modality was mechanical ventilation in 27 (45%) patients and spontaneous breathing in 33 (55%) patients. Both IVCe and IVCi diameters showed a strong negative correlation with CI, (r = −0.920 for IVCe and r = −0.964 for IVCi) (P < 0.001). There was a positive correlation between TAPSE and IVC-CI (r = 0.857, P < 0.001). IVC-CI in mechanically ventilated patients was (mean ± standard deviation [SD], 40.11 ± 1.782) compared to spontaneous breathing (mean ± SD, 48.91 ± 1.811) (P < 0.001). Conclusions: There is a linear relationship of IVC-CI with TAPSE but an inverse relation with RA area. Evaluation of IVC diameter and its CI is an easy and noninvasive method to estimate CVP and RAP and so evaluate right heart performance of critically ill patients. Its use is more helpful in patients who are spontaneously breathing than those who are mechanically ventilated.

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Central venous pressure correlates with inferior vena cava collapsibility index in patients treated in intensive care unit

Cited by 3 publications

References 5 publications

Inferior Vena Cava Collapsibility Index versus Central Venous Catheter for Early Detection of Hypovolemia in abdominal Trauma

Inferior Vena Cava Collapsibility Index versus Central Venous Catheter for Early Detection of Hypovolemia in abdominal Trauma

Inferior Vena Cava Collapsibility Index and Central Venous Pressure for Fluid Assessment in the Critically Ill Patient

Echocardiographic Evaluation of Central Venous Pressure Using Inferior Vena Cava Characteristics: An Estimate Guide for Right Atrial Pressure in Intensive Care Unit

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