Correlation of Ultrasonographic Measurement of Inferior Vena Cava Collapsibility Index with Central Venous Pressure in Diagnosis and Management of Neonatal Shock
محل انتشار: مجله علمی ناباروری ایران، دوره: 11، شماره: 3
سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 242
فایل این مقاله در 6 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_IRJN-11-3_013
تاریخ نمایه سازی: 5 شهریور 1399
چکیده مقاله:
Background: Neonatal intensive care unit (NICU)Conventionally, Central Venous Pressure (CVP) monitoring has beenused by intensivists to measure intravascular volume. However, it is an invasive procedure resulting in many complications. Non-invasive ultrasonographic measurement of inferior vena cava collapsibility index (IVC-CI) is a promising alternative. Therefore, this study wasconducted to evaluate the correlation of central venous pressure with IVC-CIand establish the cut off valuesfor IVC-CI to diagnose and manage neonatal shock.Methods: The current research was a prospective longitudinal study.All sick neonates requiring intensive hemodynamic monitoring were enrolled in the study and umbilical vein catheterization was performedto measure CVP. IVC diameters and IVC-CI were measured using ultrasound. Based on CVP, the patients were classified into three categories: hypovolemic (CVP8 cmH2O) and managed with intravenous fluid boluses and/or inotropes, accordingly. CVP and IVC-CI were again recorded after the intervention and compared with the previous values.Results: A total of 76(62.3%) males and 46 (37.7%) females were included in the study with a mean age of 27.16±17.5 years. There was a strong negative correlation,which was statistically significant, between CVP and IVC-CI (r= -0.913, n=122, P<0.001). After luid resuscitation in the hypovolemic group, CVP improved from 2.31±0.92 to 5.88±1.79 cmH2O and IVC-CI changed from 62.39±6.005 to 33.02±2.64% which was statistically signi icant(P<0.001). After the administration of inotropes in the hypervolemic group, CVP dropped from 10.86±9.07 to 9.07±1.85cmH2O and IVC-CI changed from 11.27±4.71 to 24.3±13.3% which was again statistically signi icant(P<0.001). The receiver operator characteristic (ROC) curve analysis indicated that the IVC-CI cut-off of 55% predicted CVP 8 cmH2O with 91.1% sensitivity, 83.2% speci icity, 71.8% positive predictive value and 50.6% negative predictive value.Conclusion: The obtained results revealed an inverse correlation between CVP and IVC-CI, and it was concluded that IVC-CI can provide a useful guide in the diagnosis and management of shock in sick newborns.
کلیدواژه ها:
نویسندگان
Yashwant Kumar Rao
Department of Pediatrics, G.S.V.M Medical College, Kanpur
Sunisha Arora
Department of Pediatrics, G.S.V.M Medical College, Kanpur
Tanu Midha
Department of Preventive and Social Medicine, Government Medical College, Kannauj
Neeraj Rao
Department of Pediatrics, G.S.V.M Medical College, Kanpur
مراجع و منابع این مقاله:
لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :