Investigation of correlation of inferior vena cava collapsibility index (IVCCI), passive leg raising test (PLRT), central venous pressure (CVP) and lactate and veno-arterial carbondioxide difference (ΔpCO2) for critical intensive care patients
Öz
Aim: Determination the correlation between inferior vena cava collapsibility index (IVCCI), passive leg rising test (PLRT), central venous pressure (CVP), and lactate and veno-arterial carbon dioxide difference (ΔpCO2) parameters that are used for evaluating hypovolemia in critical patients in intensive care units and determining the disposability of ΔpCO2 for this reason.
Materials and Methods: When patients were supine-neutral position, CVP was measured. CVP values less than 8 mmHg (CVP <8 mmHg) were evaluated as hypovolemia. When the patients were at the same position, with the echocardiography (ECHO) probe of ultrasonography device, inferior vena cava (IVC) was monitored and IVCCI values were calculated. IVCCI values larger than 45% (IVCCI >45%) were evaluated as hypovolemia. The patients were applied blood pressure-controlled passive leg lifting test (PLLT), and >12% increase at systolic blood pressure was accepted as positive. After that, simultaneous central venous and arterial blood gas of patients were studied, and ΔpCO2 and arterial lactate levels were controlled.
Results: As a result of our study, we have detected a medium level negative correlation (p=0.02) between IVCCI and CVP, and medium level positive correlation between IVCCI and PLLT. However, weak positive correlation (p=0.032) has been detected between IVCCI and lactate level. Any correlation detected between ΔpCO2 and other parameters.
Conclusion: IVCCI can be used for volume evaluation of intravascular fluid since it is a noninvasive method and at the same time, it is statistically in correlation with CVP, PLLT and lactate.
Anahtar Kelimeler
Veno-arterial carbon dioxide different (ΔPCO2) lactate inferior vena cava collapsibility index (IVCCI) Passive leg rising test (PLRT) Central venous pressure hypovolemia.
Kaynakça
- Sakr Y, Reinhart K, Vincent JL, et al. Does dopamine administration in shock influence outcome? Results of the Sepsis Occurrence in Acutely Ill Patients (SOAP) Study. Crit Care Med 2006;34(3):589-97.
- Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 2014;40(12):1795-815.
- Scerbo MH, Holcomb JB, Taub E, et al. The trauma center is too late: Major limb trauma without a pre-hospital tourniquet has increased death from hemorrhagic shock. J Trauma Acute Care Surge 2017;83(6):1165-72.
- Marik PE, Linde-Zwirble WT, Bittner EA, Sahatilian J, Hansell D. Fluid administration in severe sepsis and septic shock, patterns and outcomes: An analysis of a large national database. Intensive Care Med 2017;43(5):625-32.
- Ilyas A, Ishtiaq W, Assad S, et al. Correlation of IVC diameter and collapsibility index with central venous pressure in the assessment of intravascular volume in critically ill patients. Cureus 201712;9(2):e1025.
- Airapetian N, Maizel J, Alyamani O, et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients? Crit Care 201513;(19):400.
- Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill. Crit care Med 2006;34(5):1402-7.
- Mecher CE, Rackow EC, Astiz ME, Weill MH. Venous hypercarbia associated with severe sepsis and systemic hypoperfusion. Crit Care Med 1990;18(6):585-9.
- Gui J, Yang Z, Ou B, et al. Is the collapsibillity index of the inferior vena cava an accurate predictor for the early detection of intravascular volume change? Shock 2018;49(1):29-32.
- Thanakitcharu P, Charoenwut M, Siriwiwatanakul N. Inferior vena cava diameter and collapsibility index: A practical non-invasive evaluation of intravascular fluid volume in critically-ill patients. J Med Assoc Thai 2013;96(3):14-22.
- Vinced L. Annual update in intensive care and emetgency medicine. 38th ISICEM International symposium on İntensive Care and Emergency Medicine;2017 March 20-23, Brussels, Belgium.
- Mesquida J , Gruartmoner G , Ferrer R. Passive leg raising for assessment of volume responsiveness: A review. Curr Opin Crit Care 2017;23(3):237-243.
- Caibau H, Guolong C, Jing Y, et al. Bioreactance-based passive leg raising test can predict fluid responsiveness in elderly patients with septic shock. J Emerg Crit Care Med 2017;1(7):1-6.
- Nguyen HB, Rivers EP, Knoblich BP, et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004;32:1637-42.
- Mallat J, Lemyze M, Tronchon M, Vallet B, Thevenin D. Use of venous-to-arterial carbon dioxide tension difference to guide resuscitation therapy in septic shock. World J Crit Care Med 2016;5(1):47-56.
- Lamia B, Monnet X, Teboul JL. Meaning of arterio-venous PCO2 difference in circulatory shock. Minerva Anestesiol 2006;72(6):597-604.
- Johnson MC, Alarhayem A, Convertino V, et al. Comparison of compensatory reserve and arterial lactate as markers of shock and resuscitation. J Trauma Acute Care Surg 2017;83(4):603-8.
İnferior vena kava kollapsibilite indeksi (İVCCİ), pasif bacak kaldırma testi (PBKT), santral venöz basınç (CVP), laktat ve veno-arterial karbondioksit farkının (ΔpCO2) kritik yoğun bakım hastalarında korelasyonunun araştırılması
Öz
Anahtar Kelimeler
Veno-arterial karbondioksit farkı laktat inferior vena kava kollapsibilite indeksi pasif bacak kaldırma testi santral venöz basınç hipovolemi.
Kaynakça
- Sakr Y, Reinhart K, Vincent JL, et al. Does dopamine administration in shock influence outcome? Results of the Sepsis Occurrence in Acutely Ill Patients (SOAP) Study. Crit Care Med 2006;34(3):589-97.
- Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 2014;40(12):1795-815.
- Scerbo MH, Holcomb JB, Taub E, et al. The trauma center is too late: Major limb trauma without a pre-hospital tourniquet has increased death from hemorrhagic shock. J Trauma Acute Care Surge 2017;83(6):1165-72.
- Marik PE, Linde-Zwirble WT, Bittner EA, Sahatilian J, Hansell D. Fluid administration in severe sepsis and septic shock, patterns and outcomes: An analysis of a large national database. Intensive Care Med 2017;43(5):625-32.
- Ilyas A, Ishtiaq W, Assad S, et al. Correlation of IVC diameter and collapsibility index with central venous pressure in the assessment of intravascular volume in critically ill patients. Cureus 201712;9(2):e1025.
- Airapetian N, Maizel J, Alyamani O, et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients? Crit Care 201513;(19):400.
- Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill. Crit care Med 2006;34(5):1402-7.
- Mecher CE, Rackow EC, Astiz ME, Weill MH. Venous hypercarbia associated with severe sepsis and systemic hypoperfusion. Crit Care Med 1990;18(6):585-9.
- Gui J, Yang Z, Ou B, et al. Is the collapsibillity index of the inferior vena cava an accurate predictor for the early detection of intravascular volume change? Shock 2018;49(1):29-32.
- Thanakitcharu P, Charoenwut M, Siriwiwatanakul N. Inferior vena cava diameter and collapsibility index: A practical non-invasive evaluation of intravascular fluid volume in critically-ill patients. J Med Assoc Thai 2013;96(3):14-22.
- Vinced L. Annual update in intensive care and emetgency medicine. 38th ISICEM International symposium on İntensive Care and Emergency Medicine;2017 March 20-23, Brussels, Belgium.
- Mesquida J , Gruartmoner G , Ferrer R. Passive leg raising for assessment of volume responsiveness: A review. Curr Opin Crit Care 2017;23(3):237-243.
- Caibau H, Guolong C, Jing Y, et al. Bioreactance-based passive leg raising test can predict fluid responsiveness in elderly patients with septic shock. J Emerg Crit Care Med 2017;1(7):1-6.
- Nguyen HB, Rivers EP, Knoblich BP, et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004;32:1637-42.
- Mallat J, Lemyze M, Tronchon M, Vallet B, Thevenin D. Use of venous-to-arterial carbon dioxide tension difference to guide resuscitation therapy in septic shock. World J Crit Care Med 2016;5(1):47-56.
- Lamia B, Monnet X, Teboul JL. Meaning of arterio-venous PCO2 difference in circulatory shock. Minerva Anestesiol 2006;72(6):597-604.
- Johnson MC, Alarhayem A, Convertino V, et al. Comparison of compensatory reserve and arterial lactate as markers of shock and resuscitation. J Trauma Acute Care Surg 2017;83(4):603-8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Mart 2019 |
| Gönderilme Tarihi | 13 Aralık 2017 |
| Yayımlandığı Sayı | Yıl 2019 |
Kaynak Göster