2015, Número 2
<< Anterior Siguiente >>
Med Crit 2015; 29 (2)
Evaluación de la precarga y respuesta a volumen mediante ultrasonografía de la vena cava
Carrillo ER, Tapia VR, Galván TY, Garrido AE
Idioma: Español
Referencias bibliográficas: 22
Paginas: 105-112
Archivo PDF: 271.33 Kb.
RESUMEN
La evaluación ultrasonográfica de la vena cava inferior (VCI) se ha posicionado como una técnica no invasiva, segura, de fácil ejecución a la cabecera del enfermo que proporciona de manera indirecta datos sobre el estado de volumen intravascular efectivo, respuesta a la administración de líquidos, provee datos hemodinámicos del ventrículo derecho y se relaciona de manera dinámica con las presiones intratorácicas. El uso de esta herramienta tecnológica en el abordaje de pacientes críticamente enfermos es de gran utilidad ya que identifica sensibilidad a la precarga, de tal manera conforma una guía fundamental en la toma de decisiones. El objetivo de esta revisión es dar a conocer a la comunidad médica la relevancia de la implementación de la ultrasonografía de la VCI en el control de la volemia, describir la técnica ultrasonográfica y reportar la evidencia científica disponible.
REFERENCIAS (EN ESTE ARTÍCULO)
Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013;41:1774-1781.
Pinsky MR, Payen D. Monitoreo hemodinámico funcional. Bogotá: Distribuna; 2011: p. 538. ISNB: 978-958-8379-36-4
Vincent JL, Sakr Y, Sprung CL, Ranieri VM, Reinhart K, Gerlach H, et al. Sepsis in European intensive care units: results of the SOAP study. Crit Care Med. 2006;34:344-453.
Boyd JH, Forbes J, Nakada TA, Walley KR, Russell JA. Fluid resuscitation in septic shock: a positive fluid balance and elevated central venous pressure are associated with increased mortality. Crit Care Med. 2011;39:259-265.
Sakka SG, Klein M, Reinhart K, Meier-Hellmann A. Prognostic value of extravascular lung water in critically ill patients. Chest. 2002;122:2080-2086.
Lyon M, Verma N. Ultrasound guided volume assessment using inferior vena cava diameter. Open Emerg Med Journal. 2010;3:22-24.
Pinsky MR, Brochard L, Mancebo J. Applied physiology in intensive care medicine. 2nd ed. New York: Springer-Verlag; 2009.
Field JM, Bresler MJ. The textbook of emergency cardiovascular care and CPR. Philadelphia: Lippincott www; 2009.
Sabatiera C, Mongeb I, Maynarc J, Ochagavia A. Valoración de la precarga y la respuesta cardiovascular al aporte de volumen. Med Intensiva. 2012;36:45-55.
Levitov A, Marik PE. Echocardiographic assessment of preload responsiveness in critically ill patients. Cardiol Res Pract. 2012;2012:819696.
Mandeville JC, Colebourn CL. Can transthoracic echocardiography be used to predict fluid responsiveness in the critically ill patient? A systematic review. Crit Care Res Pract. 2012;2012:513480.
Malbrain ML. Is it wise not to think about intraabdominal hypertension in the ICU? Curr Opin Crit Care. 2004;10:132-145.
Kitakule M, Mayo P. Use of ultrasound to assess fluid responsiveness in the intensive care unit. The Open Critical Care Medicine Journal. 2010;3:33-37.
Monnet X, Teboul JL. Assessment of volume responsiveness during mechanical ventilation: recent advances. Crit Care. 2013;17:217.
Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23:685-713.
Barbier C, Loubières Y, Schmit C, Hayon J, Ricôme JL, Jardin F, et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care med. 2004;30:1740-1746.
Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 2004;30:1834-1837.
Duwat A, Zogheib E, Guinot P, Levy F, Trojette F, Diouf M, et al. The gray zone of the qualitative assessment of respiratory changes in inferior vena cava diameter in ICU patients. Crit Care. 2014;18:R14.
Muller L, Bobbia X, Toumi M, Louart G, Molinari N, Ragonnet B, et al. Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use. Crit Care. 2012;16:R188.
Prekker ME, Scott NL, Hart D, Sprenkle MD, Leatherman JW. Point-of-care ultrasound to estimate central venous pressure: a comparison of three techniques. Crit Care Med. 2013;41:833-834.
Charbonneau H, Riu B, Faron M, Mari A, Kurrek MM, Ruiz J, et al. Predicting preload responsiveness using simultaneous recordings of inferior and superior vena cava diameters. Crit Care. 2014;18:473.
Vieillard-Baron A, Chergui K, Rabiller A, Peyrouset O, Page B, Beauchet A, et al. Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients. Intensive Care Med. 2004;30:1734-1739.