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The relationship between inferior vena cava diameter measured by bedside ultrasonography and central venous pressure value

机译:床旁超声检查下腔静脉直径与中心静脉压值的关系

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>Objective: We aimed to present inferior vena cava (IVC) diameter as a guiding method for detection of relationship between IVC diameter measured noninvasively with the help of ultrasonography (USG) and central venous pressure (CVP) and evaluation of patient's intravascular volume status. >Methods: Patients over the age of 18, to whom a central venous catheter was inserted to their subclavian vein or internal jugular vein were included in our study. IVC diameter measurements were recorded in millimeters following measurement by the same clinician with the help of USG both at the end-inspiratory and end-expiratory phase. CVP measurements were viewed on the monitor by means of piezoelectric transducer and recorded in mmHg. SPSS 18.0 package program was used for statistical analysis of data. >Results: Forty five patients were included in the study. The patients had the diagnosis of malignancy (35.6%), sepsis (13.3%), pneumonia, asthma, chronic obstructive pulmonary disease (11.1%). 11 patients (24.4%) required mechanical ventilation while 34 (75.6%) patients had spontaneous respiration. In patients with spontaneous respiration, a significant relationship was found between IVC diameters measured by ultrasonography at the end of expiratory and inspiratory phases and measured CVP values at the same phases (for expiratory p = 0.002, for inspiratory p= 0.001). There was no statistically significant association between IVC diameters measured by ultrasonography at the end of expiration and inspiration and measured CVP values at the same phases in mechanically ventilated patients. >Conclusions: IVC diameter measured by bedside ultrasonography can be used for determination of the intravascular volume status of the patients with spontaneous respiration.
机译:>目的:我们旨在介绍下腔静脉(IVC)的直径,作为检测通过超声(USG)无创测量的IVC直径与中心静脉压(CVP)之间关系的指导方法患者血管内容积的状态。 >方法:我们的研究包括18岁以上,在锁骨下静脉或颈内静脉插入了中心静脉导管的患者。在USG的帮助下,在吸气末期和呼气末期,同一名医生在测量IVC直径后,以毫米为单位记录。通过压电换能器在监视器上查看CVP测量值,并以mmHg记录。 SPSS 18.0软件包程序用于数据的统计分析。 >结果:该研究纳入了45位患者。患者被诊断为恶性(35.6%),败血症(13.3%),肺炎,哮喘,慢性阻塞性肺疾病(11.1%)。 11例(24.4%)需要机械通气,而34例(75.6%)有自然呼吸。在具有自发性呼吸的患者中,发现在呼气阶段和吸气阶段结束时通过超声检查测得的IVC直径与在同一阶段测量的CVP值之间存在显着相关性(呼气p = 0.002,吸气p = 0.001)。机械通气患者在呼气末用超声检查测得的IVC直径和吸气与同一阶段测得的CVP值之间无统计学意义的关联。 >结论:通过床旁超声测量的IVC直径可用于确定自发性呼吸道患者的血管内容积状态。

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