THE CORRELATION BETWEEN CI-IVC USING USG WITH TBW, CO AND USING NICAS FOR AKI PATIENTS AT EMERGENCY INSTALLATION OF SYAIFUL ANWAR GENERAL HOSPITAL, MALANG

Martha Likita Adhiswasti

doi:10.7176/jhmn/76-11

Abstract

Background : Acute Kidney Injury (AKI) was a rapid decrease of glomerular filtrate rate, which was generally reversibly, with/without disruption of fluid, and electrolyte balance. Maintaining a constant body fluid volume remains stable was essential for homeostasis to prevent emergencies and avoid death. Assessment and monitoring of intravascular volume status was an integral part of the critical patients management. One of which couldbe assessed through the Caval Index IVC (CI-IVC) using USG and Total Body Water (TBW) as well as Cardiac Output (CO) and Cardiac Index (CI) using Non-Invasive Cardiac System (NICAS), where the rate of AKI was considered high. The purpose of this study was: to determine the relationship between CI-IVC and TBW, CO, and CI in AKI patients. Research methods : An observational analytic study was conducted with a cross-sectional approach of 60 samples in the Emergency Installation of Syaiful Anwar General Hospital Malang from January to December 2018. Result: The results showed that all relationships between TBW and IVC and CO and CI meet the linearity requirements, with R2 respectively as follows: 0.0969; 0.1062; 0.0325. CThere is a mutual relationship between CI-IVC using USG and TBW, CO and CI using NICAS in AKI patients. Keywords : CI-IVC, USG, TBW-CO-CI, NICAS, AKI DOI: 10.7176/JHMN/76-11 Publication date: June 30th 2020

Highlights

Acute Kidney Injury (AKI) is a rapid decrease of glomerular filtrate rate, which generally is reversible, followed by kidney failure to excrete residual nitrogen metabolism, with/without impaired fluid and electrolyte balance)
The research was an observational analytic study with a cross-sectional approach to examine the relationship between Cardiac Index (CI)-inferior vena cava diameter (IVC) against total body water (TBW), cardiac output (CO), and CI against AKI patients using USG and Non-Invasive Cardiac System (NICaS)
Data Collection and Procedure Primary data were taken from observations of the hemodynamic status of AKI patients seen from serum blood creatinine levels, CI-IVC, TBW, CO, and CI in the Emergency Installation

Summary

Introduction

Acute Kidney Injury (AKI) is a rapid decrease of glomerular filtrate rate, which generally is reversible, followed by kidney failure to excrete residual nitrogen metabolism, with/without impaired fluid and electrolyte balance). Assessment and monitoring of intravascular volume status is an essential part of critical patient management. Intravascular volume status can be assessed through physical examination, biochemical markers, tissue perfusion, Central Venous Pressure (CVP), sonographic assessment of Caval Index IVC (CI-IVC), Cardiac Output (CO), and Cardiac Index (CI) of patients. The Non-Invasive Cardiac System (NICaS), which is a computerized device, is connected with electrodes to one hand and foot to assess Stroke Volume, Cardiac Output, Total Peripheral Resistance, Cardiac Power Index, LV Systolic Function, Total Body Water, Respiration Rate, and 1 ECG Channel. Considering the backgrounds of AKI patients, especially those with haemodynamic disorders, the Caval Index Inferior Vein Cava (CI-IVC) on USG, and Total Body Water (TBW), Cardiac Output (CO), Cardiac Index (CI) can be seen through the NICaS tool. Researchers are interested in conducting further research to find out the correlation between CI-IVC and TBW, CO, and CI in AKI patients using USG and NICaS

Objectives

Results

Discussion

Conclusion