Article Sidebar

PDF
Date Published: 25/08/2022
Online Published: 25/08/2022
Abstract Views: 91
Views PDF: 580
DOI: https://doi.org/10.58490/ctump.2022i49.238
Issue
No. 49 (2022)
Section
Article
How to Cite
Nguyen, T. T. N., Bui, Q. N., Trinh, T. T., Ha, T. T. M., Truong, T. M. K., Tran, C. L., Nguyen, H. A. U., Ngo, C. Q., & Pham, N. K. T. (2022). INFERIOR VENA CAVA EVALUATION IN FLUID THERAPY DECISION MAKING IN INTENSIVE CARE: PRACTICAL APPROACH. Cantho Journal of Medicine and Pharmacy, 49, 207-210. https://doi.org/10.58490/ctump.2022i49.238

INFERIOR VENA CAVA EVALUATION IN FLUID THERAPY DECISION MAKING IN INTENSIVE CARE: PRACTICAL APPROACH

Thi Thanh Nhan Nguyen1,, Quang Nghia Bui1, Thi Tam Trinh1, Thi Thao Mai Ha1, Thi Minh Khang Truong1, Cong Ly Tran1, Huynh Ai Uyen Nguyen1, Chi Quang Ngo1, Nguyen Kim Tuyen Pham1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

The fluid resuscitation of patients with acute circulatory failure aims to increase systolic volume and consequently improve cardiac output for better tissue oxygenation. However, this effect does not always occur because approximately half of patients do not respond to fluids. The evaluation of fluid responsiveness before their administration may help to identify patients who would benefit from fluid resuscitation and avoid the risk of fluid overload in the others. The dynamic parameters of fluid responsiveness evaluation are promising predictive factors. Of these, the echocardiographic measurement of the respiratory variation in the inferior vena cava (IVC) diameter is easy to apply and has been used in the hemodynamic evaluation of intensive care unit (ICU)patients. This article updates the use of IVC respiratory variation to assess fluid responsiveness and its applicability among patients with acute circulatory failure in the ICU.

Article Details

Keywords

IVC, echocardiography, fluid therapy, ICU

References

1. Cecconi M, Aya HD (2014), “Central venous pressure cannot predict fluid-responsiveness”, Evid Based Med, 19(2), pp.63.
2. Cecconi M, Hofer C, Teboul JL, et al. (2015), “Fluid challenges in intensive care: the FENICE study - a global inception cohort study”, Intensive Care Med, 41(9), pp.1529-37.
3. Furtado S, Reis L (2019), “Inferior vena cava evaluation in fluid therapy decision making in intensive care: practical implications”, Rev Bras Ter Intensiva, 31(2), pp.240-247
4. Levitov A, Frankel HL, Blaivas M, Kirkpatrick AW, Su E, Evans D, et al. (2016). “Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients - Part II: Cardiac ultrasonography”, Crit Care Med, 44(6), pp.1206-27.
5. Ma Q, Shi X, Ji J, Chen L, Tian Y, Hao J, Li B (2022), “The diagnostic accuracy of inferior vena cava respiratory variation in predicting volume responsiveness in patients under different breathing status following abdominal surgery”, BMC Anesthesiol, 22(1), pp.63.
6. Miller A, Mandeville J (2016), “Predicting and measuring fluid responsiveness with echocardiography”, Echo Res Pract, 3(2), pp.G1-12.
7. Musikatavorn K, Plitawanon P, Lumlertgul S, et al. (2021), “Randomized Controlled Trial of Ultrasound-guided Fluid Resuscitation of Sepsis-Induced Hypoperfusion and Septic Shock”, West J Emerg Med, 22(2), pp.369-378.
8. Ogbu OC, Murphy DJ, Martin GS (2015), “How to avoid fluid overload”, Curr Opin Crit Care, 21(4), pp.315-21.
9. Orde S, Slama M, Hilton A, Yastrebov K, McLean A (2017), “Pearls and pitfalls in comprehensive critical care echocardiography”, Crit Care, 21(1), pp.279.
10. Yao B, Liu JY, Sun YB, Zhao YX, Li LD (2019), “The Value of the Inferior Vena Cava Area Distensibility Index and its Diameter Ratio for Predicting Fluid Responsiveness in Mechanically Ventilated Patients”, Shock, 52(1), pp.37-42.