Abstract
Identification of occult hypoperfusion (OH) is critical in the initial management of trauma patients as delayed recognition results in worse outcomes. Computed tomographic (CT) analysis of inferior vena cava (IVC) diameter has shown promise in predicting intravascular volume. However, data are conflicting regarding the association between IVC diameter and hypovolemia or ongoing blood loss in critically injured patients. We hypothesized that IVC diameter is a predictor of OH and is associated with worse outcomes in major trauma patients.
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