دورية أكاديمية
Diagnostic accuracy of left ventricular outflow tract velocity time integral versus inferior vena cava collapsibility index in predicting post-induction hypotension during general anesthesia: an observational study
| العنوان: | Diagnostic accuracy of left ventricular outflow tract velocity time integral versus inferior vena cava collapsibility index in predicting post-induction hypotension during general anesthesia: an observational study |
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| المؤلفون: | Vibhuti Sharma, Arti Sharma, Arvind Sethi, Jyoti Pathania |
| المصدر: | Acute and Critical Care, Vol 39, Iss 1, Pp 117-126 (2024) |
| بيانات النشر: | Korean Society of Critical Care Medicine, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | general surgery, hypotension, inferior vena cava, logistic models, propofol, ultrasonography, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Background Point of care ultrasound (POCUS) is being explored for dynamic measurements like inferior vena cava collapsibility index (IVC-CI) and left ventricular outflow tract velocity time integral (LVOT-VTI) to guide anesthesiologists in predicting fluid responsiveness in the preoperative period and in treating post-induction hypotension (PIH) with varying accuracy. Methods In this prospective, observational study on included 100 adult patients undergoing elective surgery under general anesthesia, the LVOT-VTI and IVC-CI measurements were performed in the preoperative room 15 minutes prior to surgery, and PIH was measured for 20 minutes in the post-induction period. Results The incidence of PIH was 24%. The area under the curve, sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of the two techniques at 95% confidence interval was 0.613, 30.4%, 93.3%, 58.3%, 81.4%, 73.6% for IVC-CI and 0.853, 83.3%, 80.3%, 57.1%, 93.8%, 77.4% for LVOT -VTI, respectively. In multivariate analysis, the cutoff value for IVC-CI was >51.5 and for LVOT-VTI it was ≤17.45 for predicting PIH with odd ratio [OR] of 8.491 (P=0.025) for IVCCI and OR of 17.427 (P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-6052 2586-6060 |
| Relation: | http://www.accjournal.org/upload/pdf/acc-2023-00913.pdf; https://doaj.org/toc/2586-6052; https://doaj.org/toc/2586-6060 |
| DOI: | 10.4266/acc.2023.00913 |
| URL الوصول: | https://doaj.org/article/1a3d20f29d444f30b50d40aeee2f47df |
| رقم الأكسشن: | edsdoj.1a3d20f29d444f30b50d40aeee2f47df |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25866052 25866060 |
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| DOI: | 10.4266/acc.2023.00913 |