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01.12.2017 | Advances in Monitoring for Anesthesia (LAH Critchley, Section Editor) | Ausgabe 4/2017

Volume Assessment by Inferior Vena Cava Examination: Bedside Ultrasound Techniques and Practical Difficulties

Zeitschrift:: Current Anesthesiology Reports > Ausgabe 4/2017

Autoren:: Jie Zhang, Liyuan Zhao

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Wichtige Hinweise

This article is part of the Topical Collection on Advances in Monitoring for Anesthesia

Abstract

Purpose of Review

This article reviews the published literature that evaluated the reliability and accuracy of inferior vena cava (IVC) parameters measured by ultrasound for volume assessment, as well as those that described the potential change in these parameters induced by other factors.

Recent Findings

Several IVC parameters, including IVC diameter, phasic respiratory variation, and IVC/Aorta diameter ratio, were recommended for assessing volume status. They have been proven to be reliable, repeatable, and have good relationship with other indicators of volume status. However, the body size, respiratory status, anesthetics, and intra-thoracic and intra-abdominal pressure could affect their values. The reverse in IVC respiratory variation resulted from change in ventilation mode limits its application in the perioperative period.

Summary

Ultrasound IVC measurements are reliable for volume assessment to facilitate clinical decision. The interpretation of the IVC parameters measured by ultrasound should be done by physicians aware of physiological principle and expected changes in IVC under certain circumstances.

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Vincent JL, Weil MH. Fluid challenge revisited. Crit Care Med. 2006;34(5):1333–7. https://doi.org/10.1097/01.CCM.0000214677.76535.A5. CrossRefPubMed

Junghans T, Neuss H, Strohauer M, Raue W, Haase O, Schink T, et al. Hypovolemia after traditional preoperative care in patients undergoing colonic surgery is underrepresented in conventional hemodynamic monitoring. Int J Color Dis. 2006;21(7):693–7. https://doi.org/10.1007/s00384-005-0065-6. CrossRef

Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134(1):172–8. https://doi.org/10.1378/chest.07-2331. CrossRefPubMed

Wiesenack C, Prasser C, Keyl C, Rödīg G. Assessment of intrathoracic blood volume as an indicator of cardiac preload: single transpulmonary thermodilution technique versus assessment of pressure preload parameters derived from a pulmonary artery catheter. J Cardiothorac Vasc Anesth. 2001;15(5):584–8. https://doi.org/10.1053/jcan.2001.26536. CrossRefPubMed

Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest. 2002;121(6):2000–8. CrossRefPubMed

• Marik PE, Lemson J. Fluid responsiveness: an evolution of our understanding. Br J Anaesth. 2014;112(4):617–20. https://doi.org/10.1093/bja/aet590. Definiton of fluid responsiveness and its use for volume assessment. CrossRefPubMed

Kalantari K, Chang JN, Ronco C, Rosner MH. Assessment of intravascular volume status and volume responsiveness in critically ill patients. Kidney Int. 2013;83(6):1017–28. https://doi.org/10.1038/ki.2012.424. CrossRefPubMed

Panebianco NL, Shofer F, Cheng A, Fischer J, Cody K, Dean AJ. The effect of supine versus upright patient positioning on inferior vena cava metrics. Am J Emerg Med. 2014;32(11):1326–9. https://doi.org/10.1016/j.ajem.2014.07.036. CrossRefPubMed

Wallace DJ, Allison M, Stone MB. Inferior vena cava percentage collapse during respiration is affected by the sampling location: an ultrasound study in healthy volunteers. Acad Emerg Med Off J Soc Acad Emerg Med. 2010;17(1):96–9. https://doi.org/10.1111/j.1553-2712.2009.00627.x. CrossRef

10.

•• Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 2010;23(7):685–713. https://doi.org/10.1016/j.echo.2010.05.010. This article is guidelines from the American Society of Echocardiography and describes the standard procedure for performing ultrasound scan when measuring the IVC. CrossRef

11.

Seif D, Mailhot T, Perera P, Mandavia D. Caval sonography in shock: a noninvasive method for evaluating intravascular volume in critically ill patients. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2012;31(12):1885–90. CrossRef

12.

Brennan JM, Blair JE, Goonewardena S, Ronan A, Shah D, Vasaiwala S, et al. A comparison by medicine residents of physical examination versus hand-carried ultrasound for estimation of right atrial pressure. Am J Cardiol. 2007;99(11):1614–6. https://doi.org/10.1016/j.amjcard.2007.01.037. CrossRefPubMed

13.

Bustam A, Noor Azhar M, Singh Veriah R, Arumugam K, Loch A. Performance of emergency physicians in point-of-care echocardiography following limited training. Emerg Med J. 2014;31(5):369–73. https://doi.org/10.1136/emermed-2012-201789. CrossRefPubMed

14.

Fields JM, Lee PA, Jenq KY, Mark DG, Panebianco NL, Dean AJ. The interrater reliability of inferior vena cava ultrasound by bedside clinician sonographers in emergency department patients. Acad Emerg Med. 2011;18(1):98–101. https://doi.org/10.1111/j.1553-2712.2010.00952.x. CrossRefPubMed

15.

Akkaya A, Yesilaras M, Aksay E, Sever M, Atilla OD. The interrater reliability of ultrasound imaging of the inferior vena cava performed by emergency residents. Am J Emerg Med. 2013;31(10):1509–11. https://doi.org/10.1016/j.ajem.2013.07.006. CrossRefPubMed

16.

Nakamura K, Tomida M, Ando T, Sen K, Inokuchi R, Kobayashi E, et al. Cardiac variation of inferior vena cava: new concept in the evaluation of intravascular blood volume. Journal of Medical Ultrasonics. 2013;40(3):205–9. https://doi.org/10.1007/s10396-013-0435-6. CrossRefPubMed

17.

Brennan JM, Ronan A, Goonewardena S, Blair JE, Hammes M, Shah D, et al. Handcarried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clinical journal of the American Society of Nephrology : CJASN. 2006;1(4):749–53. https://doi.org/10.2215/CJN.00310106. CrossRefPubMed

18.

Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: a meta-analysis. Am J Emerg Med. 2012;30(8):1414–9. https://doi.org/10.1016/j.ajem.2011.10.017. CrossRefPubMed

19.

Zhang Z, Xu X, Ye S, Xu L. Ultrasonographic measurement of the respiratory variation in the inferior vena cava diameter is predictive of fluid responsiveness in critically ill patients: systematic review and meta-analysis. Ultrasound Med Biol. 2014;40(5):845–53. https://doi.org/10.1016/j.ultrasmedbio.2013.12.010. CrossRefPubMed

20.

Barbier C, Loubieres Y, Schmit C, Hayon J, Ricome JL, Jardin F, et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med. 2004;30(9):1740–6. https://doi.org/10.1007/s00134-004-2259-8. PubMed

21.

Gunst M, Ghaemmaghami V, Sperry J, Robinson M, O'Keeffe T, Friese R, et al. Accuracy of cardiac function and volume status estimates using the bedside echocardiographic assessment in trauma/critical care. Journal of Trauma-Injury Infection and Critical Care. 2008;65(3):509–15. https://doi.org/10.1097/TA.0b013e3181825bc5. CrossRef

22.

Schefold JC, Storm C, Bercker S, Pschowski R, Oppert M, Kruger A, et al. Inferior vena cava diameter correlates with invasive hemodynamic measures in mechanically ventilated intensive care unit patients with sepsis. The Journal of emergency medicine. 2010;38(5):632–7. https://doi.org/10.1016/j.jemermed.2007.11.027. CrossRefPubMed

23.

Zengin S, Al B, Genc S, Yildirim C, Ercan S, Dogan M, et al. Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia. Am J Emerg Med. 2013;31(5):763–7. https://doi.org/10.1016/j.ajem.2012.10.013. CrossRefPubMed

24.

Yanagawa Y, Sakamoto T, Okada Y. Hypovolemic shock evaluated by sonographic measurement of the inferior vena cava during resuscitation in trauma patients. J Trauma. 2007;63(6):1245–8. https://doi.org/10.1097/TA.0b013e318068d72b. CrossRefPubMed

25.

Ferrada P, Anand RJ, Whelan J, Aboutanos MA, Duane T, Malhotra A, et al. Qualitative assessment of the inferior vena cava: useful tool for the evaluation of fluid status in critically ill patients. Am Surg. 2012;78(4):468–70. PubMed

26.

Nagdev AD, Merchant RC, Tirado-Gonzalez A, Sisson CA, Murphy MC. Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med. 2010;55(3):290–5. https://doi.org/10.1016/j.annemergmed.2009.04.021. CrossRefPubMed

27.

• Stawicki SP, Adkins EJ, Eiferman DS, Evans DC, Ali NA, Njoku C, et al. Prospective evaluation of intravascular volume status in critically ill patients: does inferior vena cava collapsibility correlate with central venous pressure? J Trauma Acute Care Surg. 2014;76(4):956–64. https://doi.org/10.1097/TA.0000000000000152. This article showed the quatitative relationship between IVC collapsibiltiy with central venous pressure. CrossRefPubMed

28.

Muller L, Bobbia X, Toumi M, Louart G, Molinari N, Ragonnet B, et al. Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use. Crit Care. 2012;16(5):R188. https://doi.org/10.1186/cc11672. CrossRefPubMedPubMedCentral

29.

Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 2004;30(9):1834–7. https://doi.org/10.1007/s00134-004-2233-5. CrossRefPubMed

30.

Kosiak W, Swieton D, Piskunowicz M. Sonographic inferior vena cava/aorta diameter index, a new approach to the body fluid status assessment in children and young adults in emergency ultrasound—preliminary study. Am J Emerg Med. 2008;26(3):320–5. https://doi.org/10.1016/j.ajem.2007.07.012. CrossRefPubMed

31.

Durajska K, Januszkiewicz E, Szmygel L, Kosiak W. Inferior vena cava/aorta diameter index in the assessment of the body fluid status—a comparative study of measurements performed by experienced and inexperienced examiners in a group of young adults. Journal of ultrasonography. 2014;14(58):273–9. 10.15557/JoU.2014.0027. CrossRefPubMedPubMedCentral

32.

Jauregui J, Nelson D, Choo E, Stearns B, Levine AC, Liebmann O, et al. The BUDDY (Bedside Ultrasound to Detect Dehydration in Youth) study. Crit Ultrasound J. 2014;6(1):15. https://doi.org/10.1186/s13089-014-0015-z. CrossRefPubMedPubMedCentral

33.

Blehar DJ, Dickman E, Gaspari R. Identification of congestive heart failure via respiratory variation of inferior vena cava diameter. Am J Emerg Med. 2009;27(1):71–5. https://doi.org/10.1016/j.ajem.2008.01.002. CrossRefPubMed

34.

Jones AE, Tayal VS, Sullivan DM, Kline JA. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med. 2004;32(8):1703–8. CrossRefPubMed

35.

Pellicori P, Carubelli V, Zhang J, Castiello T, Sherwi N, Clark AL, et al. IVC diameter in patients with chronic heart failure: relationships and prognostic significance. JACC Cardiovascular imaging. 2013;6(1):16–28. https://doi.org/10.1016/j.jcmg.2012.08.012. CrossRefPubMed

36.

Zhang J, Critchley LA. Inferior vena cava ultrasonography before general anesthesia can predict hypotension after induction. Anesthesiology. 2016;124(3):580–9. https://doi.org/10.1097/ALN.0000000000001002. CrossRefPubMed

37.

Au AK, Steinberg D, Thom C, Shirazi M, Papanagnou D, Ku BS, et al. Ultrasound measurement of inferior vena cava collapse predicts propofol-induced hypotension. Am J Emerg Med. 2016;34(6):1125–8. https://doi.org/10.1016/j.ajem.2016.03.058. CrossRefPubMed

38.

Duwat A, Zogheib E, Guinot P, Levy F, Trojette F, Diouf M, et al. The gray zone of the qualitative assessment of respiratory changes in inferior vena cava diameter in ICU patients. Crit Care. 2014;18(1):R14. https://doi.org/10.1186/cc13693. CrossRefPubMedPubMedCentral

39.

Taniguchi T, Ohtani T, Nakatani S, Hayashi K, Yamaguchi O, Komuro I, et al. Impact of body size on inferior vena cava parameters for estimating right atrial pressure: a need for standardization? Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 2015;28(12):1420–7. https://doi.org/10.1016/j.echo.2015.07.008. CrossRef

40.

• Gui J, Guo J, Nong F, Jiang D, Xu A, Yang F, et al. Impact of individual characteristics on sonographic IVC diameter and the IVC diameter/aorta diameter index. Am J Emerg Med. 2015;33(11):1602–5. https://doi.org/10.1016/j.ajem.2015.06.047. This study evaluated the influence of different individual characteristics on ultrasound measured IVC parameters, including age, sex, body size and hypotension status. CrossRefPubMed

41.

Bodson L, Vieillard-Baron A. Respiratory variation in inferior vena cava diameter: surrogate of central venous pressure or parameter of fluid responsiveness? Let the physiology reply. Crit Care. 2012;16(6):181. https://doi.org/10.1186/cc11824. CrossRefPubMedPubMedCentral

42.

• Lin EE, Chen AE, Panebianco N, Conlon T, Ju NR, Carlson D, et al. Effect of inhalational anesthetics and positive-pressure ventilation on ultrasound assessment of the great vessels: a prospective study at a children’s hospital. Anesthesiology. 2016;124(4):870–7. https://doi.org/10.1097/aln.0000000000001032. This study evaluated the effect of inhalational anesthetics and positive pressure ventilation on IVC parameters measured by bedside ultrasound. CrossRefPubMed

Titel: Volume Assessment by Inferior Vena Cava Examination: Bedside Ultrasound Techniques and Practical Difficulties
Autoren:: Jie Zhang
Liyuan Zhao
Publikationsdatum: 01.12.2017
DOI: https://doi.org/10.1007/s40140-017-0232-7
Verlag: Springer US
Zeitschrift: Current Anesthesiology Reports
Ausgabe 4/2017
Elektronische ISSN: 2167-6275

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Volume Assessment by Inferior Vena Cava Examination: Bedside Ultrasound Techniques and Practical Difficulties

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Purpose of Review

Recent Findings

Summary

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