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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Pak+J+Med+Sci
2016 ; 32
(4
): 836-40
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A Non-invasive Method for Assessment of Intravascular Fluid Status: Inferior Vena
Cava Diameters and Collapsibility Index
#MMPMID27648024
Karacabey S
; Sanri E
; Guneysel O
Pak J Med Sci
2016[Jul]; 32
(4
): 836-40
PMID27648024
show ga
OBJECTIVE: To evaluate the correlation between central venous pressure (CVP) and
inferior vena cava (IVC) diameters measured by ultrasonography (Ultrasound) in
critically ill patients. METHODS: Intubated critically ill patients were
enrolled. The CVP values were measured using a U-tube manometer and were compared
to the IVC diameters and collapsibility index, which were measured by bedside
Ultrasound. Patients younger than 18 years old, who were not intubated, who had
an abdominal pressure greater than 12 mmHg, and/or who were admitted for trauma
were excluded from the study. RESULTS: Eighty three patients with a mean age of
73.6±11.2 years were enrolled. The most common diagnosis was sepsis (21 patients,
25.30%). IVC inspiration measurements were statistically significantly correlated
with CVP measurements (p0.05, r: 0.1). IVC collapsibility measurements showed a
negative correlation with CVP measurements (p<0.01, r: 0.68). CONCLUSIONS: There
is a strong correlation between CVP and IVC diameters and the collapsibility
index. This is a new formula for evaluating CVP, based on our statistical
analyses.