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Journals / Turkish Journal of Medical Sciences / 2021 / Cilt: 51 - Sayı: 3

Point-of-care ultrasound assessment of the inferior vena cava distensibility index in mechanically ventilated children in the operating room

Faruk EKİNCİ
Ahmet YÖNTEM
Nagehan ASLAN
Dinçer YILDIZDAŞ
Özden ÖZGÜR HOROZ
Murat Türkeün ILGINEL
Demet LAFLI TUNAY
Pages
1071–1078
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Overall inferior vena cava distensibility index (%): mean ± SD: 6.8 ± 4.0, median (min–max): 5.7 (1.4–19.6), IQR: 3.8–8.7.

📌 3 Key Takeaways

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Objective & Hypothesis:Background and aim: Point-of-care ultrasound imaging of the inferior vena cava distensibility index is a potential indicator for determining fluid overload and dehydration in the mechanically ventilated patients.
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Key Findings & Data:Materials and methods: This crosssectional study was performed between February 2019 and February 2020.
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Conclusion & Impact:Overall inferior vena cava distensibility index (%): mean ± SD: 6.8 ± 4.0, median (min–max): 5.7 (1.4–19.6), IQR: 3.8–8.7.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Background and aim: Point-of-care ultrasound imaging of the inferior vena cava distensibility index is a potential indicator for determining fluid overload and dehydration in the mechanically ventilated patients. Data on inferior vena cava distensibility index and inferior vena cava distensibility variability are limited in mechanically ventilated pediatric patients. That is why our aim in this study was to measure inferior vena cava distensibility index and to obtain mean values in pediatric patients, ventilated in the operating room before the ambulatory surgical procedure started. Materials and methods: This crosssectional study was performed between February 2019 and February 2020. Ultrasonographic measurements were performed in a total of 125 children. Results: In a period of 13 months, the measurements were performed in a total of 125 children, of which 120 (62.5% male) met the criteria and were included in the study. Overall inferior vena cava distensibility index (%): mean ± SD: 6.8 ± 4.0, median (min–max): 5.7 (1.4–19.6), IQR: 3.8–8.7. Overall inferior vena cava distensibility variability (%): mean ± SD: 6.5 ± 3.7, median (min–max): 5.5 (1.4–17.8), IQR: 3.7–8.4. Conclusion: Our study is the largest series of children in the literature in which inferior vena cava distensibility index measurements were investigated.Key words: Distensibility index, mechanically ventilation, children

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Cite This Article

EKİNCİ, F., YÖNTEM, A., ASLAN, N., YILDIZDAŞ, D., HOROZ, Ö. Ö., ILGINEL, M. T., TUNAY, D. L. (2022). Point-of-care ultrasound assessment of the inferior vena cava distensibility index in mechanically ventilated children in the operating room. Turkish Journal of Medical Sciences, Cilt: 51 - Sayı: 3, 1071–1078. https://ajindex.com/articles/609447

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References (10)

  1. Brierley J, Carcillo JA, Choong K, Cornell T, Decaen A et al. Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine. Critical Care Medicine 2009
  2. 37 (2): 666-688. doi: 10.1097/CCM.0b013e31819323c6 2. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Critical Care Medicine 2013
  3. 41 (2): 580-637. doi: 10.1097/ CCM.0b013e31827e83af 3. Vatankhah S, Sheikhi RA, Heidari M, Moradimajd P. The relationship between fluid resuscitation and intra-abdominal hypertension in patients with blunt abdominal trauma. International Journal of Critical Illness and Injury Science 2018
  4. 8 (3): 149-153. doi: 10.4103/IJCIIS.IJCIIS_17_18 4. Soubrier S, Saulnier F, Hubert H, Delour P, Lenci H et al. Can dynamic indicators help the prediction of fluid responsiveness in spontaneously breathing critically ill patients? Intensive Care Medicine 2007
  5. 33 (7): 1117-1124. doi: 10.1007/s00134- 007-0644-9 5. Muller L, Bobbia X, Toumi M, Louart G, Molinari N et al. Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use. Critical Care 2012
  6. 16 (5): R188. doi: 10.1186/cc11672 6. Cavallaro F, Sandroni C, Antonelli M. Functional hemodynamic monitoring and dynamic indices of fluid responsiveness. Minerva Anestesiologica 2008
  7. 74 (4): 123-135 7. Barbier C, Loubières Y, Schmit C, Hayon J, Ricôme JL et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Medicine 2004
  8. 30 (9): 1740-1746. doi: 10.1007/ s00134-004-2259-8 8. Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Medicine 2004
  9. 30 (9): 1834-1837. doi: 10.1007/s00134-004-2233-5 9. Basu S, Sharron M, Herrera N, Mize M, Cohen J. Point-of-care ultrasound assessment of the inferior vena cava in mechanically ventilated critically ill children. Journal of Ultrasound in Medicine 2020
  10. 39 (8): 1573-1579. doi: 10.1002/jum.15247 10. Achar SK, Sagar MS, Shetty R, Kini G, Samanth J et al. Respiratory variation in aortic flow peak velocity and inferior vena cava distensibility as indices of fluid responsiveness in anaesthetised and