دوره 31، شماره 147 - ( 5-1402 )                   جلد 31 شماره 147 صفحات 347-342 | برگشت به فهرست نسخه ها


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Zeraatchi A, Safavi F, Naghibi T. Evaluation of the Effect of Three Different Tidal Volumes on Internal Jugular Vein Collapsibility Index in Hypovolemic Mechanically-Ventilated Patients Before and After Fluid Therapy. J Adv Med Biomed Res 2023; 31 (147) :342-347
URL: http://journal.zums.ac.ir/article-1-7044-fa.html
Evaluation of the Effect of Three Different Tidal Volumes on Internal Jugular Vein Collapsibility Index in Hypovolemic Mechanically-Ventilated Patients Before and After Fluid Therapy. Journal of Advances in Medical and Biomedical Research. 1402; 31 (147) :342-347

URL: http://journal.zums.ac.ir/article-1-7044-fa.html


چکیده:   (1305 مشاهده)

Background and Objective: The diameter of the internal jugular vein changes with variations in intrathoracic pressure during inhalation and exhalation and this difference increases during hypovolemia. One of the causes of increased intrathoracic pressure in patients under mechanical ventilation is the tidal volume, which can affect the diameter of the internal jugular vein. On this basis, the present study was designed to investigate the effect of tidal volume on the internal jugular collapsibility index.
Materials and Methods: In this clinical trial, 30 hypovolemic patients under mechanical ventilation were studied and three tidal volumes of 8, 10, and 12 cc/kg were applied to the patients. Subsequently, patients received fluid therapy and the measurements were repeated. Finally, the internal jugular vein diameters and the indices before and after the fluid therapy were measured in the three mentioned tidal volumes. A repeated measures t- test was used to compare the data.
Results: The means of the internal jugular collapsibility index in the three tidal volumes of 8, 10, and 12 cc/kg were 27.78 ±8.87, 28.11±10.24, and 29.67±11.72(p=0.577) respectively before fluid therapy. These values were 27.78±8.87, 28.11±10.24, and 29.67±11.72 (p= 0.288) respectively, after fluid therapy.
Conclusion: The results of this study showed that the internal jugular collapsibility index does not correlate with the tidal volume in hypovolemic patients and after fluid therapy.

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نوع مطالعه: مقاله پژوهشی | موضوع مقاله: Clinical medicine
دریافت: 1401/8/25 | پذیرش: 1401/12/9 | انتشار: 1402/7/5

فهرست منابع
1. Ultrasound guidelines: emergency, point-of-care, and clinical ultrasound guidelines in medicine.Ann Emerg Med. 2017;69(5):e27-e54. [DOI:10.1016/j.annemergmed.2016.08.457] [PMID]
2. Frankel HL, Kirkpatrick AW, Elbarbary M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients-part I: general ultrasonography.Crit Care Med. 2015;43(11):2479-502. [DOI:10.1097/CCM.0000000000001216] [PMID]
3. Levitov A, Frankel HL, Blaivas M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients-part II: cardiac ultrasonography. Crit Care Med.2016;44(6):1206-27. [DOI:10.1097/CCM.0000000000001847] [PMID]
4. Killu K, Coba V, Blyden D, et al. Sonographic assessment of intravascular fluid estimate (SAFE) score by using bedside ultrasound in the intensive care unit. critical care research and practice. 2020;2020:9719751. [DOI:10.1155/2020/9719751] [PMID] [PMCID]
5. Zeraatchi A, Naghibi T, Kafili H, Sabet S.Is there an optimal positive end-expiratory pressure to measure the internal jugular vein collapsibility index? A pilot study in mechanically ventilated patients.Arch Anesthesiol Crit Care. 2021;7(4):223-6. [DOI:10.18502/aacc.v7i4.7628]
6. Kilic Y, Kayhan G, Bilir A, Gulec M. Ultrasonographic measurement of the internal jugular vein as a predictor of hypotension following the induction of anesthesia.Int J Clin Exp.2020;13(10):7857-64.
7. Frankel HL, Kirkpatrick AW, Elbarbary M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically Ill patients-part I: general ultrasonography. Crit Care Med. 2015;43(11):2479-502. [DOI:10.1097/CCM.0000000000001216] [PMID]
8. Bauman Z, Coba V, Gassner M, et al. Inferior vena cava collapsibility loses correlation with internal jugular vein collapsibility during increased thoracic or intra-abdominal pressure. J Ultrasound. 2015;18(4):343-8. [DOI:10.1007/s40477-015-0181-2] [PMID] [PMCID]
9. Kent A, Patil P, Davila V, et al. Sonographic evaluation of intravascular volume status: Can internal jugular or femoral vein collapsibility is used in the absence of IVC visualization? Ann Thorac Med. 2015;10(1):44.
10. 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. 2017;9(2):e1025 [DOI:10.7759/cureus.1025]
11. Haliloglu M, Bilgili B, Kararmaz A, Cinel I. The value of internal jugular vein collapsibility index in sepsis.Ulus Travma Acil Cerrahi Derg. 2017;23(4):294-300.
12. Broilo F, Meregalli A, Friedman G. Right internal jugular vein distensibility appears to be a surrogate marker for inferior vena cava vein distensibility for evaluating fluid responsiveness. Rev Bras Ter Intensiva.2015;27:205-11. [DOI:10.5935/0103-507X.20150042] [PMID] [PMCID]
13. Killu K, Coba V, Huang Y, Andrezejewski T, Dulchavsky S. Internal jugular vein collapsibility index associated with hypovolemia in the intensive care unit patients.J Ultrasound. 2010;2(1):13-7. [DOI:10.1007/s13089-010-0034-3]
14. Van den Berg PC, Jansen JR, Pinsky MR. Effect of positive pressure on venous return in volume-loaded cardiac surgical patients.J Apply Physiol. 2002;92(3):1223-31. [DOI:10.1152/japplphysiol.00487.2001] [PMID]
15. Thudium M, Klaschik S, Ellerkmann RK, Putensen C, Hilbert T. Is internal jugular vein extensibility associated with indices of fluid responsiveness in ventilated patients? Acta Anaesthesiologica Scandinavica. 2016;60(6):723-33. [DOI:10.1111/aas.12701] [PMID]
16. Taccheri T, Gavelli F, Teboul JL, Shi R, Monnet X. Do changes in pulse pressure variation and inferior vena cava distensibility during passive leg raising and tidal volume challenge detect preload responsiveness in case of low tidal volume ventilation? Crit Care. 2021;25(1):1-2. [DOI:10.1186/s13054-021-03515-7] [PMID] [PMCID]
17. Suehiro K, Okutani R. Influence of tidal volume for stroke volume variation to predict fluid responsiveness in patients undergoing one-lung ventilation.J Anesthesia.2011;25(5):777-80. [DOI:10.1007/s00540-011-1200-x] [PMID]
18. Reuter DA, Bayerlein J, Goepfert MS, et al. Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients.Intens Care Med. 2003;29(3):476-80. [DOI:10.1007/s00134-003-1649-7] [PMID]
19. De Backer D, Heenen S, Piagnerelli M, Koch M, Vincent J. Pulse pressure variations to predict fluid responsiveness: influence of tidal volume.Intens Care Med. 2005;31(4):517-23. [DOI:10.1007/s00134-005-2586-4] [PMID]
20. Alvarado Sánchez JI, Caicedo Ruiz JD, Diaztagle Fernández JJ, Ospina-Tascón GA, Cruz Martínez LE. Use of pulse pressure variation as predictor of fluid responsiveness in patients ventilated with low tidal volume: A systematic review and meta-analysis. Circ Respir Pulmon Med. 2020;14:1-10. [DOI:10.1177/1179548420901518] [PMID] [PMCID]

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