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2014, Number 2

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Med Crit 2014; 28 (2)

Correlation between distensibility of the inferior vena cava and pulmonary capillary wedge pressure to assess the fluid responsiveness patient in the Intensive Care Unit

Jonguitud PR, Trujillo RN, Rosas BJV, Méndez RR, Villagómez OAJ

Language: Spanish
References: 56
Page: 63-74
PDF size: 238.52 Kb.


ABSTRACT

Introduction: The cornerstone of treatment of patients with shock has been the intravenous fluids therapy. Surprisingly the objective assessment of the starting blood volume in critically ill patients is difficult, since many studies have shown that only 50% of patients with hemodynamic instability respond to a liquids challenge.
Objective: Report the correlation of the distensibility of the Inferior Vena Cava and pulmonary capillary wedge pressure in critically ill patients to assess the initial blood volume and possible response to fluids.
Methodology: A descriptive, observational, cross and retrolective study, obtaining data from 30 cases of shock patients diagnosed with measurement of pulmonary capillary wedge pressure and inferior vena cava by ultrasonography. We performed a correlation study using the Pearson coefficient.
Results: We collected 30 cases of patients with an age mean of 62 years, 70% male. We found a statistically significant correlation between pulmonary capillary wedge pressure and inferior vena cava with an r of - .716 and a coefficient of determination of 0.512 (51%), with a p < 0.001.
Conclusions: The inferior vena cava is a satisfactory predictor of initial volume status and possible response to fluids challenge in critical patients, useful in any kind of shock. Inferior vena cava is a reliable noninvasive method which offers more safety to the patient care.


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