Evaluation of the relationship of Delta-CO2 with IVC-CI, IJV-CI, and CVP values in intubated critically ill patients with spontaneous breathing, and who were applied invasive mechanical ventilation in CPAP mode

Evaluation of the relationship of Delta-CO2 with IVC-CI, IJV-CI, and CVP values in intubated critically ill patients with spontaneous breathing, and who were applied invasive mechanical ventilation in CPAP mode

Aim: Our aim in this study is to understand whether there is a correlation between IVC-CI, IJV-CI, CVP, and Delta-CO2 values in critical patients in the ICU and whether these values can be used interchangeably in monitoring intravascular fluid status.. Materials and Methods: Patients included in this study were selected from critical ICU patients between 18-90 years old with an unknown hypovolemic status that had spontaneous breathing and underwent invasive mechanical ventilation in CPAP mode. Patients’ parameters were consecutively measured by USG with the inferior vena cava collapsibility index (IVC-CI), internal jugular vein collapsibility index (IJV-CI), CVP, and Delta-CO2. The results were recorded, and any correlations were checked. Results: There was a statistically significant and moderately negative correlation (r = -0.428, p

___

  • 1. Jassim HM, Naushad VA, Khatib MY, et al. IJV collapsibility index vs IVC collapsibility index by point of care ultrasound for estimation of CVP: a comparative study with direct estimation of CVP. Open Access Emerg Med 2019;11:65-75.
  • 2. Briegel J, Möhnle P. [nternational guidelines from the Surviving Sepsis Campaign : 2016 update. Anaesthesist 2017;66:530-8.
  • 3. Hilbert-Carius P, Schwarzkopf D, Reinhart K, et al. Synthetic colloid resuscitation in severely injured patients: analysis of a nationwide trauma registry (TraumaRegister DGU). Sci Rep 2018;8:11567.
  • 4. Haliloğlu M, Bilgili B, Kararmaz A, et al. The value of internal jugular vein collapsibility index in sepsis. Ulus Travma Acil Cerrahi Derg 2017;23:294-300.
  • 5. Kent A, Patil P, Davila V, et al. Sonographic evaluation of intravascular volume status: Can internal jugular or femoral vein collapsibility be used in the absence of IVC visualization? Ann Thorac Med 2015;10:44-9.
  • 6. Prekker ME, Scott NL, Hart D, et al. Point-of-care ultrasound to estimate central venous pressure: a comparison of three techniques. Crit Care Med 2013;41:833-41.
  • 7. Bauman Z, Coba V, Gassner M, et al. Inferior vena cava collapsibility loses correlation with internal jugularvein collapsibility during increased thoracic or intra-abdominal pressure. J Ultrasound 2015;18:343- 8.
  • 8. Diaztagle Fernández JJ, Rodríguez Murcia JC, Sprockel Díaz JJ. Venous-to-arterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock: A systematic review. Med Intensiva 2017;41:401-10.
  • 9. Doucet JJ, Ferrada P, Murthi S, et al. Ultrasonographic inferior vena cava diameter response to trauma resuscitation after 1 hour predicts 24-hour fluid requirement. J Trauma Acute Care Surg 2020;88:70- 79.
  • 10. Kaçar CK, Uzundere O, Yektaş A. A Two parameters for the evaluation of hypovolemia in patients with septic shock: inferior vena cava collapsibility index (IVCCI), Delta Cardiac Output. Med Sci Monit 2019;25:8105- 11.
  • 11. Zhao J, Wang G. Inferior Vena Cava Collapsibility Index is a valuable and non-invasive index for elevated general heart end-diastolic volume index estimation in septic shock patients. Med Sci Monit 2016;22:3843-8.
  • 12. Arican Ş, Dertli R, Dağli Ç, et al.The role of right ventricular volumes and inferior vena cava diameters inthe evaluation of volume status before colonoscopy. Turk J Med Sci 2019;49:1606-13.
  • 13. Premkumar M, Rangegowda D, Kajal K, Khumuckham JS. Noninvasive estimation of intravascular volume status in cirrhosis by dynamic size and collapsibility indices of the inferior vena cava using bedside echocardiography. JGH Open 2019;3:322-8.
  • 14. Corl KA, George NR, Romanoff J, et al. Inferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically-ill patients. J Crit Care 2017;41:130-7.
  • 15. Gui J, Yang Z, Ou B, et al. Is the Collapsibility Index of the Inferior Vena Cava an Accurate Predictor for the Early Detection of Intravascular Volume Change? Shock 2018;49:29-32.
  • 16. Szabó M, Bozó A, Darvas K, et al. Role of inferior vena cava collapsibility index in the prediction of hypotension associated with general anesthesia: an observational study. BMC Anesthesiol 2019;19:139.
  • 17. Jaremko I, Mačiulienė A, Gelmanas A, et al. Can the inferior vena cava collapsibility index be useful in predicting hypotension during spinal anaesthesia in a spontaneously breathing patient? A mini fluid challenge. Acta Med Litu 2019;26:1-7.
  • 18. Preau S, Bortolotti P, Colling D, et al. Diagnostic accuracy of the inferior vena cava collapsibility to predict fluid responsiveness in spontaneously breathing patients with sepsis and acute circulatory failure. Crit Care Med 2017;45:290-7.
  • 19. Zante B, Reichenspurner H, Kubik M, et al. Increased Admission Central Venous-Arterial CO2 Difference Predicts ICU-mortality in Adult Cardiac Surgery Patients. Heart Lung 2019;48:421-7.
  • 20. Rhodes LA, Erwin WC, Borasino S, et al. Central venous to arterial CO2 difference after cardiac surgery in infants and neonates. Pediatr Crit Care Med 2017;18:228-33.
  • 21. Fernandez JJD, Murcia JCR, Diaz JJS. Venous-toarterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock: A systematic review. Med Intensiva 2017;41:401-10.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Intracranial arterial variations and their relation with cerebral aneurysms: Analysis of 640 patients

Sadık Ahmet UYANIK, Handan UZUNÇAKMAK UYANIK, Umut OGUSLU, Doğan DEDE

Comparison outcomes of repeat mini-open microdiscectomy versus fusion for recurrent lumbar disc herniations regarding preoperative radiological features-single institute experience

Barış POLAT, Ayşe Esin POLAT, Ramadan ÖZMANEVRA, Odhan YÜKSEL, Halil İbrahim SECER

Evaluation of socio-demographic characteristics of people was determined to use synthetic cannabinoids in Malatya and its surrounding cities / districts and LC-MS/MS analysis method

Mücahit ORUÇ, Osman CELBİŞ, Bedirhan Sezer ÖNER, Semih PETEKKAYA, Özcan SOYLU, Ahmet Hakan DİNÇ

Do patellar degeneration and obesity have an impact on anterior knee pain in total knee arthroplasty without patellar resurfacing?

Salim ERSÖZLÜ, Ekin KAYA ŞİMŞEK, Orçun Şahin, Bahtiyar HABERAL

The analysis of patient preferences for oral and dental care: Factor analysis model

Hasan Onur ŞİMŞEK, Kıymet YAVUZASLAN

Evaluation of the relationship of Delta-CO2 with IVC-CI, IJV-CI, and CVP values in intubated critically ill patients with spontaneous breathing, and who were applied invasive mechanical ventilation in CPAP mode

Abdulkadir YEKTAŞ, Cem Kıvılcım KAÇAR, Mustafa BIÇAK, Sedat KAYA, Deniz KANDEMİR, Osman UZUNDERE

Vitamin E plays a protective role while acrylamide administration disrupted the placenta structure in pregnancy: An experimental study

Mehmet Erman ERDEMLİ, Zeynep ERDEMLİ

The relationship between the perceived care and rehabilitation and the anxiety level of the hospitalized patients

Hilal YILDIRIM

Endocan and Interleukin-6 Levels in Individuals with polycystic ovary syndrome and periodontal inflammation: A prospective cross-sectional stud

Hümeyra ÇANAKÇI, Cenk Fatih ÇANAKÇI, Ebru SAĞLAM, Ayşe TORAMAN, Metin İNGEÇ, Engin SEBİN

Knowledge, behaviors and opinions of medical faculty students during the COVID-19 pandemic

Enis ÖZKAYA, Şebnem ALANYA TOSUN, Kaan NOMER, Sıla ALEMDAROĞLU