Journal of the American College of Surgeons
Volume 209, Issue 1 , Pages 55-61 , July 2009

Intensivist Use of Hand-Carried Ultrasonography to Measure IVC Collapsibility in Estimating Intravascular Volume Status: Correlations with CVP

  • S. Peter Stawicki, MD

      Affiliations

    • Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA
    • Corresponding Author InformationCorrespondence address: S Peter Stawicki, MD, Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Suite 634, 395 West 12th Ave, Columbus, OH 43210
    • ,
  • Benjamin M. Braslow, MD, FACS

      Affiliations

    • Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Nova L. Panebianco, MD

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • James N. Kirkpatrick, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Vicente H. Gracias, MD, FACS

      Affiliations

    • Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Geoffrey E. Hayden, MD

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Anthony J. Dean, MD

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA

Received 19 January 2009 ,Revised 23 February 2009 ,Accepted 25 February 2009.

References 

  1. Connors AF, Speroff T, Dawson N, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients (SUPPORT Investigators). JAMA. 1996;276:889–897
  2. Demeria DD, MacDougall A, Spurek M, et al. Comparison of clinical measurement of jugular venous pressure versus measured central venous pressure. Chest. 2004;126:747S
  3. Eisenberg PR, Jaffe AS, Schuster DP. Clinical evaluation compared to pulmonary artery catheterization in the hemodynamic assessment of critically ill patients. Crit Care Med. 1984;12:549–553
  4. Brennan JM, Blair JE, Goonewardena S, et al. Reappraisal of the use of inferior vena cava for estimating right atrial pressure. J Am Soc Echocardiogr. 2007;20:857–861
  5. Brennan JM, Ronan A, Goonewardena S, et al. Hand carried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clin J Am Soc Nephrol. 2006;1:749–753
  6. Cheriex EC, Leunissen KM, Janssen JH, et al. Echography of the inferior vena cava is a simple and reliable tool for estimation of ‘dry weight’ in haemodialysis patients. Nephrol Dials Transplant. 1989;4:563–568
  7. Kircher BJ, Himelman RB, Schiller NB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990;66:493–496
  8. Krause I, Birk E, Davidovits M, et al. Inferior vena cava diameter: a useful method for estimation of fluid status in children on haemodialysis. Nephrol Dial Transplant. 2001;16:1203–1206
  9. Kusaba T, Yamaguchi K, Oda H. Echography of the inferior vena cava for estimating fluid removal from patients undergoing hemodialysis. Nippon Jinzo Gakkai Shi. 1996;38:119–123
  10. Ommen SR, Nishimura RA, Hurrell DG, et al. Assessment of right atrial pressure with 2-dimensional and Doppler echocardiography: a simultaneous catheterization and echocardiographic study. Mayo Clinic Proc. 2000;75:24–29
  11. Toprak A, Koc M, Tezcan H, et al. Inferior vena cava diameter determines left ventricular geometry continuous ambulatory peritoneal dialysis patients: an echocardiographic study. Nephrol Dial Transplant. 2003;18:2128–2133
  12. Yanagiba S, Ando Y, Kusano E, et al. Utility of the inferior vena cava diameter as a marker of dry weight in nonoliguric hemodialyzed patients. ASAIO J. 2001;47:528–532
  13. Carr BG, Dean AJ, Everett WW, et al. Intensivist bedside ultrasound (INBU) for volume assessment in the intensive care unit: a pilot study. J Trauma. 2007;63:495–500
  14. DeCara JM, Lang RM, Koch R, et al. The use of small personal ultrasound devices by internists without formal training in echocardiography. Eur J Echocardiogr. 2003;4:141–147
  15. Fedson S, Neithardt G, Thomas P, et al. Unsuspected clinically important findings detected with a small portable ultrasound device in patients admitted to a general medicine service. J Am Soc Echocardiogr. 2003;16:901–905
  16. Goodkin GM, Spevack DM, Tunick PA, et al. How useful is hand-carried bedside echocardiography in critically ill patients?. J Am Coll Cardiol. 2001;37:2019–2022
  17. Gracias VH, Frankel HL, Gupta R, et al. Defining the learning curve for the Focused Abdominal Sonogram for Trauma (FAST) examination: implications for credentialing. Am Surg. 2001;67:364–368
  18. Kronzon I. The hand-carried ultrasound revolution. Echocardiography. 2003;20:453–454
  19. Manasia AR, Nagaraj HM, Kodali RB, et al. Feasibility and potential clinical utility of goal-directed transthoracic echocardiography performed by noncardiologist intensivists using a small hand-carried device (SonoHeart) in critically ill patients. J Cardiothorac Vasc Anesth. 2005;19:155–159
  20. Mark DG, Ku BS, Carr BG, et al. Directed bedside transthoracic echocardiography: preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients. Am J Emerg Med. 2007;25:894–900
  21. McKenney MG, McKenney KL, Compton RP, et al. Can surgeons evaluate emergency ultrasound scans for blunt abdominal trauma?. J Trauma. 1998;44:649–653
  22. Randazzo MR, Snoey ER, Levitt MA, et al. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003;10:973–977
  23. Stawicki SP, Hoff WS, Cipolla J, et al. Use of the esophageal echo-Doppler to guide intensive care unit resuscitations: a retrospective study. IJCCM. 2007;11:54–60
  24. Dalen JE, Bone RC. Is it time to pull the pulmonary artery catheter?. JAMA. 1996;276:916–918
  25. Wheeler AP, Bernard GR, et al. National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network Pulmonary-Artery verses central venous catheter to guide treatment of acute lung injury. N Engl J Med. 2006;354:2213–2224
  26. Shah MR, Hasselblad V, Stevenson LW, et al. Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. JAMA. 2005;294:1664–1670
  27. The ESCAPE Investigators and ESCAPE Study Coordinators. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA. 2005;294:1625–1633
  28. Shoemaker WC, Wo CC, Chien LC, et al. Evaluation of invasive and noninvasive hemodynamic monitoring in trauma patients. J Trauma. 2006;61:844–854
  29. Beaulieu Y. Bedside echocardiography in the assessment of the critically ill. Crit Care Med. 2007;35(Suppl):S235–S249
  30. Bendjelid K, Romand JA, Walder B, et al. Correlation between measured inferior vena cava diameter and right atrial pressure depends on the echocardiographic method used in patients who are mechanically ventilated. J Am Soc Echocardiogr. 2002;15:944–949
  31. Feissel M, Michard F, Faller JP, et al. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Int Care Med. 2004;30:1834–1837
  32. Jue J, Chung W, Schiller NB. Does inferior vena cava size predict right atrial pressures in patients receiving mechanical ventilation?. J Am Soc Echocardiogr. 1992;5:613–619
  33. Hruda J, Rothuis EG, van Elburg RM, et al. Echocardiographic assessment of preload conditions does not help at the neonatal intensive care unit. Am J Perinatol. 2003;20:297–303
  34. Reda Z, Houri S, Davis AL, Baum VC. Effect of airway pressure on inferior vena cava pressure as a measure of central venous pressure in children. J Pediatr. 1995;126:961–965
  35. Jeffrey RB, Federle MP. The collapsed inferior vena cava: CT evidence of hypovolemia. Am J Roentgenol. 1988;150:431–432
  36. Mitaka C, Nagura T, Sakanishi N, et al. Two-dimensional echocardiographic evaluation of inferior vena cava, right ventricle, and left ventricle during positive-pressure ventilation with varying levels of positive end-expiratory pressure. Crit Care Med. 1989;17:205–210
  37. Stawicki SP, Seamon MJ, Meredith DM, et al. Transthoracic echocardiography for suspected pulmonary embolism in the intensive care unit: unjustly underused or rightfully ignored?. J Clin Ultrasound. 2008;36:291–302
  38. American College of Emergency Physicians. Emergency ultrasound imaging criteria compendium (American College of Emergency Physicians). Ann Emerg Med. 2006;48:487–510
  39. Beaulieu Y. Specific skill set and goals of focused echocardiography for critical care clinicians. Crit Care Med. 2007;35(Suppl):S144–S149
  40. Mazraeshahi RM, Farmer JC, Porembka DT. A suggested curriculum in echocardiography for critical care physicians. Crit Care Med. 2007;35(Suppl):S431–S433
  41. Charron C, Caille V, Jardin F, et al. Echocardiographic measurement of fluid responsiveness. Curr Opin Crit Care. 2006;12:249–254

 Disclosure Information: Nothing to disclose.

PII: S1072-7515(09)00286-5

doi: 10.1016/j.jamcollsurg.2009.02.062

Journal of the American College of Surgeons
Volume 209, Issue 1 , Pages 55-61 , July 2009

Article Tools

* Image Usage & Resolution