Relation between Inferior Vena Cava Collapsibility and Central Venous PressureRelation between Inferior Vena Cava Collapsibility and Central Venous Pressure
- Other Titles
- Relation between Inferior Vena Cava Collapsibility and Central Venous Pressure
- Authors
- 이병찬; 김정윤; 홍윤식; 최성혁; 윤영훈; 문성우; 이성우
- Issue Date
- 2015
- Publisher
- 대한응급의학회
- Keywords
- Central venous pressure; Inferior vena cava; Ultrasonography
- Citation
- 대한응급의학회지, v.26, no.1, pp.76 - 81
- Indexed
- KCI
- Journal Title
- 대한응급의학회지
- Volume
- 26
- Number
- 1
- Start Page
- 76
- End Page
- 81
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/95549
- ISSN
- 1226-4334
- Abstract
- Purpose: For evaluation of volume status in the emergency department, central venous pressure (CVP) measurement is a standard practice. However, this is an invasive method.
Measuring inferior vena cava (IVC) size through ultrasound is promising as a non-invasive method. However, few studies have been reported in Korea. Therefore this study measured IVC size and collapsibility in order to examine the clinical usefulness.
Methods: In a prospective study setting, IVC size was measured with ultrasound for patients whose CVP was measured in the emergency department. IVC size of healthy applicants was measured.
Results: The healthy group included 100 people: 68 men and 32 women. The average IVC size of men was 1.8±0.4 cm and that of women was 1.8±0.3 cm. For collapsibility, men were 0.28±0.14 and women were 0.23±0.14, thus there was no statistical difference in size and collapsibility between men and women. The patient group included 51 people, average age was 59.9±18.5, and 28 (54.9%) were men. This group showed a significant negative correlation between CVP and collapsibility. IVC Max was 1.7±0.5 cm, IVC Min was 1.2±0.5 cm, median collapsibility was 0.26 (0.15-0.38), mean lactate was 6.4±4.4 mmol/L, and median CVP was 10.0 (1.0-14.5) cmH2O.
Conclusion: IVC collapsibility can be used as a reference measure, or even instead of CVP in certain cases.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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