Pre-operative Ultrasonographic Evaluation of the Internal Jugular Vein Collapsibility Index and Inferior Vena Cava Collapsibility Index to Predict Post Spinal Hypotension in Pregnant Women Undergoing Caesarean Section
| Author | Amr Arafa Elbadry | en |
| Author | Ahmed El dabe | en |
| Author | Motaz Amr Abu Sabaa | en |
| Orcid | Amr Arafa Elbadry [0000-0002-1485-0001] | en |
| Orcid | Motaz Amr Abu Sabaa [0000-0003-0456-7664] | en |
| Issued Date | 2022-02-28 | en |
| Abstract | Background: Post spinal anesthesia hypotension (PSAH) is frequently encountered in anesthetic practice, especially during cesarean section. Ultrasound is a safe and easy technique for hemodynamic monitoring. Objectives: This study was conducted to assess the efficacy of pre-operative inferior vena cava collapsibility index (IVCCI) and internal jugular vein collapsibility index (IJVCI) in predicting PSAH. Methods: This cross-sectional blinded study included 55 pregnant females prepared for elective cesarean section. They were divided into two groups based on the incidence of PSAH: (1) cases with PSAH (26 cases); and (2) cases without PSAH (29 cases). All the cases underwent ultrasound-guided measurement of IVCCI and IJVCI. The efficacy of these parameters was assessed in predicting PSAH. Results: Cases in both groups expressed non-significant differences regarding demographic data. However, IVCCI had mean values of 38.27 and 23.97%, while IJVCCI had mean values of 46.50 and 33.41%, respectively, in cases with and without PSAH. For IVCCI, using a cut-off point of 33% had sensitivity and specificity (84.6 and 93.1%, respectively) for predicting PSAH, with a diagnostic accuracy of 89.1%. IJVCI had sensitivity and specificity of 84.6 and 82.8%, respectively, for predicting the same complication using a cut-off value of 38.5%. Conclusion: IVCCI and IJVCI are efficacious and reliable tools in predicting PSAH in pregnant ladies undergoing cesarean section, with a slight superiority for IVCCI regarding specificity and accuracy. | en |
| DOI | https://doi.org/10.5812/aapm.121648 | en |
| Keyword | Cesarean Section | en |
| Keyword | Hypotension | en |
| Keyword | Inferior Vena Cava | en |
| Keyword | Internal Jugular Vein | en |
| Publisher | Brieflands | en |
| Title | Pre-operative Ultrasonographic Evaluation of the Internal Jugular Vein Collapsibility Index and Inferior Vena Cava Collapsibility Index to Predict Post Spinal Hypotension in Pregnant Women Undergoing Caesarean Section | en |
| Type | Research Article | en |
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