The Ultrasonographic Evaluation of Vena Cava Inferior Diameter as an Intraabdominal Pressure Indicator

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2020

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info:eu-repo/semantics/openAccess

Özet

Aim: Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) areaccepted as a significant cause of morbidity and mortality. The aim of this study is toinvestigate the utility of ultrasonography (US) as a non-invasive technique for evaluation ofIAH, ACS and abdominal perfusion pressure (APP).Material and Methods: Ninety-five patients with intensive care unit requirement, whoapplied to emergency department and also received a urine catheter were included in the study.During first evaluation intraabdominal pressure (IAP) calculated via measuring intravesicalpressure. Inferior vena cava (VCI) diameter, pulsed wave (PW) and central venous pressure(CVP) were recorded by using US. Patients were divided into three groups according to theirIAP (IAP <12 mm Hg, IAP =12-20 mm Hg, IAP >20 mm Hg). Each group were evaluatedseparately in terms of VCI inspirium (i) and expirium (e) diameters.Results: Mean age of the patients was 68.6±14.5 (range, 24-91) years. Median IAP was 9.55mm Hg and mean APP was 70.41±17.67 mm Hg. VCIi and VCIe diameters were significantlydifferent in Group 1 with normal (<12 mm Hg) IAP (p<0.001). Correlation between VCIdiameter and CVP among all patients were significant (p<0.001).Conclusion: A significant correlation between both VCIi and VCIe diameters, and CVP valuesin case of IAH presence was found in this study. We think that, recognition of IAP with noninvasive methods via evaluating high values of VCI diameter and CVP is effective for reducingmorbidity and mortality providing early diagnosis and treatment.

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22

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3

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