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
Abstract
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.
Keywords
Kaynakça
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Ayrıntılar
Birincil Dil
Türkçe
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Murat Arslan
0000-0002-0499-6859
Türkiye
Bedih Balkan
0000-0003-3510-6991
Türkiye
Süleyman Sabaz
0000-0001-7034-0391
Türkiye
Kübra Yıldırım
0000-0002-7723-7773
Türkiye
Gülsüm Oya Hergünsel
0000-0003-3218-0029
Türkiye
Yayımlanma Tarihi
14 Mart 2019
Gönderilme Tarihi
13 Aralık 2017
Kabul Tarihi
5 Şubat 2018
Yayımlandığı Sayı
Yıl 1970 Cilt: 58 Sayı: 1
Cited By
Evaluation of Fluid Status of Children in Pediatric Intensive Care Unit by Measuring Inferior Vena Cava Diameter
Turkish Journal of Pediatric Emergency and Intensive Care Medicine
https://doi.org/10.4274/cayd.galenos.2025.22590