Comparison of inferior vena cava collapsibility, distensibility, and delta indices at different positive pressure supports and prediction values of indices for intravascular volume status

Aykut SARITAŞ; Çiler ZİNCİRCİOĞLU; Pelin Uzun SARITAŞ; Uğur UZUN; İşil GÜLDOĞAN; Nimet ŞENOĞLU

Makale detayları

Comparison of inferior vena cava collapsibility, distensibility, and delta indices at different positive pressure supports and prediction values of indices for intravascular volume status

Yazarlar:

Aykut SARITAŞ | Çiler ZİNCİRCİOĞLU | Pelin Uzun SARITAŞ | Uğur UZUN | İşil GÜLDOĞAN | Nimet ŞENOĞLU

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1170-1178

Belge Tipi:

Makale

Yayın Tarihi:

7/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000750024

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: To compare the inferior vena cava (IVC) indices, identify their variation rates at positive pressure values and accurate predictive values for the volume status in patients with spontaneous respiration receiving different positive pressure support.Material and methods: The study included 100 patients who were divided into 4 pressure support groups, according to the different pressure supports received, and 3 volume groups according to their CVP values. Ultrasonography was applied to all of the patients to define their IVC diameters at different pressure supports. Dynamic parameters were derived from the ultrasonographic assessment of the IVC diameter [collapsibility (CI-IVC), distensibility (dIVC), and delta (?IVC) indices].Results: There were significant differences between the 3 indices (CI-IVC, dIVC, and ?IVC) according to the pressure groups [(10/5), (10/0), (0/5), (t tube 0/0)]. The median value for the dIVC percentages was ?18% for all of the positive pressure support hypervolemic groups, apart from the hypervolemic t tube group (19%). For the hypervolemic groups, the best estimation according to the cut-off value appeared to be for the dIVC. Values with the highest sensitivity for differentiation of the hypovolemic individuals were calculated with the dIVC.Conclusion: The dIVC had a more accurate predictive role in predicting the volume status when compared with the CI-IVC and ?IVC, and may be used reliably with positive pressure supports.

Makale detayları

Comparison of inferior vena cava collapsibility, distensibility, and delta indices at different positive pressure supports and prediction values of indices for intravascular volume status

Yazarlar: Aykut SARITAŞ | Çiler ZİNCİRCİOĞLU | Pelin Uzun SARITAŞ | Uğur UZUN | İşil GÜLDOĞAN | Nimet ŞENOĞLU

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1170-1178

Belge Tipi: Makale

Yayın Tarihi: 7/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000750024

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Aykut SARITAŞ | Çiler ZİNCİRCİOĞLU | Pelin Uzun SARITAŞ | Uğur UZUN | İşil GÜLDOĞAN | Nimet ŞENOĞLU

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1170-1178

Belge Tipi:

Makale

Yayın Tarihi:

7/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000750024

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144