JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (10): 96-99.doi: 10.6040/j.issn.1671-7554.0.2014.278

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Role of ultrasound guided measurement of inferior vena cava and right ventricular diameters in the assessment of volume status in elderly patients

ZHU Lei, ZHAO Zhibin, FENG Jiying, ZHU Pin, LUAN Hengfei, ZHANG Xiaobao   

  1. Department of Anesthesiology, First People's Hospital of Lianyungang, Lianyungang 222000, Jiangsu, China
  • Received:2014-04-29 Revised:2014-06-17 Online:2014-10-10 Published:2014-10-10

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Abstract: Objective To evaluate inferior vena cava (IVC) and right ventricular (RV) diameters and their correlations with central venous pressure (CVP) for rapid evaluation of blood volume in elderly patients. Methods A total of 40 elderly patients with preoperative fasting (experimental group) and 30 healthy elderly volunteers (control group) were enrolled in the study. The heart rate (HR), oxygen saturation (SpO2), mean arterial pressure (MAP) of patients were recorded after they were sent to the operating room. The IVC diameters during expiration (IVCe) and inspiration (IVCi), and the maximum RV diameter were measured with ultrasonography both before and after fluid resuscitation. The CVP was measured under local anesthesia. The HR, SpO2, MAP, IVC and RV of controls were measured during the time they participated in the study. Results The average diameters of the IVCe, IVCi, and RV in patients were significantly lower compared with healthy controls (P<0.01), while IVC-CI of patients was higher than that of controls. After fluid resuscitation, IVCe was increased by 46.5% and IVCi by 85.9%, which were positively correlatedwith synchronous CVP (r=0.598); IVC-CI was reduced by 31.7%, which was negatively correlated with CVP (r=-0.418). Conclusion The IVC and RV are consistently low in hypovolemic elderly patients when compared with healthy controls. Ultrasonographic measurements of IVC and RV diameters could be a useful noninvasive tool for the detection and follow-up of elderly patients with hypovolemia.

Key words: Elderly patients, Inferior vena cava, Volume status, Ultrasound, Right ventricular

CLC Number: 

  • R445.1
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