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Journal ArticleDOI

The Correlation Between Inferior Vena Cava Diameter Measured by Ultrasonography and Central Venous Pressure.

TLDR
Effective fluid resuscitation improves IVC diameters with a decrease in CI, and IVC diameter has a positive correlation to CVP and CI has a negative correlation toCVP.
Abstract
To find a correlation between inferior vena cava (IVC) diameters, IVC compressibility index (CI) and central venous pressure (CVP). Prospective observational study was done at pediatric intensive care unit (PICU) of Kalawati Saran Children’s Hospital (KSCH). Fifty children aged 5-18 y, presenting with shock were enrolled for the study. IVC diameters, CI and relevant clinical data were noted at enrollment, 30 min, 1 h, 6 h, and 12 h. Central line was placed at the time of admission. Of 50 children enrolled, 28 were boys, with a mean age of 11 y. More than 80% of cases were diagnosed as septic shock. Mean maximum and minimum IVC diameter of 8.3 ± 2 mm and 3.7 ± 1.7 mm, respectively CI 58.2 ± 7% and CVP of 5.4 ± 1.5 cm of H2O was observed at admission. CVP and IVC diameters showed a serial improvement with treatment; CI showed a serial decrease with treatment. Heart rate (HR) and systolic blood pressure (SBP) also showed a serial improvement at 12 h (p < 0.05). CVP showed a positive correlation with IVC diameter (r +0.312; p < 0.05), and a negative correlation with CI (r −0.343; p < 0.05). Effective fluid resuscitation improves IVC diameters with a decrease in CI. IVC diameter has a positive correlation to CVP and CI has a negative correlation to CVP.

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Journal ArticleDOI

Ultrasonographic inferior vena cava collapsibility and distensibility indices for detecting the volume status of critically ill pediatric patients

TL;DR: Detailed information is given on the ultrasonographic inferior vena cava diameter measurement methods, and calculations of the inferior venna cava collapsibility index and inferior v Rena cava distensibility index, to emphasize the importance of a noninvasive, bedside, and objective method of detecting the volume status of critically ill patients for pediatric intensive care specialists according to the published literature.
Journal ArticleDOI

Central venous pressure, global end-diastolic index, and the inferior vena cava collapsibility/distensibility indices to estimate intravascular volume status in critically ill children: A pilot study.

TL;DR: The use of PiCCO as an advanced haemodynamic monitoring method and the use of bedside ultrasound as a noninvasive method are useful to evaluate the volume status in critically ill paediatric patients in intensive care.
Journal ArticleDOI

Application of interventional ultrasound in emergency medicine conditions

TL;DR: The intention of the authors of the article was to present to the reader the basic ultrasound protocols applicable to patients in emergency situations.
Journal ArticleDOI

A trend skill that makes pediatric intensivists stand out: Critical care echocardiography.

TL;DR: The common measurements carried out by intensive care specialists are highlighted and the role of the CCE methods in PICUs is emphasized.
References
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Journal ArticleDOI

Predicting Fluid Responsiveness in ICU Patients: A Critical Analysis of the Evidence

TL;DR: In this article, the authors identified and critically reviewed the published peer-reviewed, English-language studies investigating predictive factors of fluid responsiveness in ICU patients and compared responder and nonresponder patients' characteristics before volume expansion.
Journal ArticleDOI

Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava.

TL;DR: IVC respiratory collapse on echocardiography is easily imaged and can be used to estimate RA pressure, and a caval index greater than or equal to 50% indicates RA pressure less than 10 mm Hg, and caval indexes less than 50% indicate RA pressure greater than and equal to 10 Hg.
Journal ArticleDOI

Emergency Department Bedside Ultrasonographic Measurement of the Caval Index for Noninvasive Determination of Low Central Venous Pressure

TL;DR: Bedside ultrasonographic measurement of caval index greater than or equal to 50% is strongly associated with a low central venous pressure and could be a useful noninvasive tool to determine central venus pressure during the initial evaluation of the ED patient.
Journal ArticleDOI

Sonographic measurement of the inferior vena cava as a marker of blood loss

TL;DR: The data indicates that the measurement of the IVC diameter is a reliable indicator of blood loss, even in small amounts of 450 mL, and may be an important addition to the ultrasonographic evaluation of trauma and other potentially volume-depleted patients.
Journal ArticleDOI

Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: A systematic review of the literature

TL;DR: It is concluded that although PICCs are frequently used in oncology, scientific evidence supporting any advantage or disadvantage of PICC when comparing PicC with traditional central venous lines is limited, apart from a tendency towards increased risk for DVT and a decreased risk for catheter occlusion with P ICC.
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