Abstract
Objective:To evaluate the correlation between central venous pressure (CVP) and inferior vena cava (IVC) diameters measured by ultrasonography (Ultrasound) in critically ill patients.Methods:Intubated critically ill patients were enrolled. The CVP values were measured using a U-tube manometer and were compared to the IVC diameters and collapsibility index, which were measured by bedside Ultrasound. Patients younger than 18 years old, who were not intubated, who had an abdominal pressure greater than 12 mmHg, and/or who were admitted for trauma were excluded from the study.Results:Eighty three patients with a mean age of 73.6±11.2 years were enrolled. The most common diagnosis was sepsis (21 patients, 25.30%). IVC inspiration measurements were statistically significantly correlated with CVP measurements (p0.05, r: 0.1). IVC collapsibility measurements showed a negative correlation with CVP measurements (p<0.01, r: 0.68).Conclusions:There is a strong correlation between CVP and IVC diameters and the collapsibility index. This is a new formula for evaluating CVP, based on our statistical analyses.
Highlights
Fluid resuscitation in critically ill patients is a common and serious challenge.[1]
The mean intra-abdominal pressure was 4.8±2.3 mmHg, and there was no correlation between central venous pressure (CVP) and IAP (p>0.05)
inferior vena cava (IVC) collapsibility measurements showed a negative correlation with CVP measurements (p
Summary
Fluid resuscitation in critically ill patients is a common and serious challenge.[1] Overtreatment causes many different complications such as pulmonary edema, abdominal hypertension, 1. Emergency Medicine Department, Marmara University Faculty of Medicine, Pendik Training and Research Hospital, Istanbul, Turkey. 3. Ozlem Guneysel Associate Professor, Emergency Department, Kartal Dr Lutfi Kırdar Training and Research Hosital, Istanbul, Turkey
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
