Non-invasive Assessment of Intravascular Volume Status for Postoperative Patients: The Correlation Between the Internal Jugular Vein/Common Carotid Artery Cross-sectional Area Ratio and the Inferior Vena Cava Diameter
| Author | Samaa A Kasem | en |
| Author | Ahmed Goda Ahmed | en |
| Author | Hebattallah Nagm Eldeen | en |
| Author | Dina Y Kassim | en |
| Orcid | Samaa A Kasem [0000-0002-3102-3438] | en |
| Orcid | Ahmed Goda Ahmed [0000-0002-1633-0915] | en |
| Orcid | Hebattallah Nagm Eldeen [0000-0001-7610-8278] | en |
| Orcid | Dina Y Kassim [0000-0001-7641-3934] | en |
| Issued Date | 2021-06-30 | en |
| Abstract | Background: This study aimed to assess the correlation between the internal jugular vein/common carotid artery (IJV/CCA) cross-sectional area (CSA) ratio and the inferior vena cava (IVC) diameter as non-invasive techniques for the assessment of intravascular volume. Methods: The study samples included 35 adult patients of both sexes (age range: 20 - 60 years) according to the criteria of the American Society of Anaesthesiology (ASA) physical status II - III, who were admitted to the surgical intensive care unit (SICU) after major surgeries for the assessment of intravascular volume status. Results: There was a positive correlation between the IJV/CCA CSA ratio and the IVC maximum and minimum diameter before and after fluid infusion (r = 0.923, P < 0.001 and r = 0.390, P = 0.021, respectively) and between the IJV/CCA CSA ratio at inspiration and the IVC minimum diameter before and after fluid infusion (r = 0.605, P < 0.001 and r = 0.496, P < 0.001, respectively). The sensitivity and specificity analysis of the IJV/CCA CSA during inspiration after fluid correction to predict a central venous pressure (CVP) of 8 - 12 cmH2O showed that at a ratio of 2.56, the highest sensitivity was 56.5%, and the specificity was 83.3%; at a ratio of 2.58, the highest sensitivity was 65.2% and the specificity was 75%. During expiration, at a ratio of 2.62, the highest sensitivity was 52.2%, and the specificity was 67%; and at a ratio of 2.65, the sensitivity was 56.5%, and the specificity was 50%. Conclusions: The assessment of the IJV/CCA CSA ratio using bedside ultrasound could be a non-invasive tool for the evaluation of intravascular volume status in spontaneously breathing adult patients after major surgeries. | en |
| DOI | https://doi.org/10.5812/aapm.114597 | en |
| Keyword | Internal Jugular Vein/Common Carotid Artery Cross-sectional Area Ratio | en |
| Keyword | Central Venous Pressure | en |
| Keyword | Bed Side Ultrasound | en |
| Publisher | Brieflands | en |
| Title | Non-invasive Assessment of Intravascular Volume Status for Postoperative Patients: The Correlation Between the Internal Jugular Vein/Common Carotid Artery Cross-sectional Area Ratio and the Inferior Vena Cava Diameter | en |
| Type | Research Article | en |