Skip to main content
Top
Published in: Indian Journal of Pediatrics 10/2017

01-10-2017 | Original Article

The Correlation Between Inferior Vena Cava Diameter Measured by Ultrasonography and Central Venous Pressure

Authors: Hans Vaish, Virendra Kumar, Rama Anand, Viswas Chhapola, Sandeep Kumar Kanwal

Published in: Indian Journal of Pediatrics | Issue 10/2017

Login to get access

Abstract

Objective

To find a correlation between inferior vena cava (IVC) diameters, IVC compressibility index (CI) and central venous pressure (CVP).

Methods

Prospective observational study was done at pediatric intensive care unit (PICU) of Kalawati Saran Children’s Hospital (KSCH). Fifty children aged 5-18 y, presenting with shock were enrolled for the study. IVC diameters, CI and relevant clinical data were noted at enrollment, 30 min, 1 h, 6 h, and 12 h. Central line was placed at the time of admission.

Results

Of 50 children enrolled, 28 were boys, with a mean age of 11 y. More than 80% of cases were diagnosed as septic shock. Mean maximum and minimum IVC diameter of 8.3 ± 2 mm and 3.7 ± 1.7 mm, respectively CI 58.2 ± 7% and CVP of 5.4 ± 1.5 cm of H2O was observed at admission. CVP and IVC diameters showed a serial improvement with treatment; CI showed a serial decrease with treatment. Heart rate (HR) and systolic blood pressure (SBP) also showed a serial improvement at 12 h (p < 0.05). CVP showed a positive correlation with IVC diameter (r +0.312; p < 0.05), and a negative correlation with CI (r −0.343; p < 0.05).

Conclusions

Effective fluid resuscitation improves IVC diameters with a decrease in CI. IVC diameter has a positive correlation to CVP and CI has a negative correlation to CVP.
Appendix
Available only for authorised users
Literature
1.
go back to reference Johansson E, Hammarskjöld F, Lundberg D, Arnlind MH. Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: a systematic review of the literature. Acta Oncol. 2013;52:886–92.CrossRefPubMed Johansson E, Hammarskjöld F, Lundberg D, Arnlind MH. Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: a systematic review of the literature. Acta Oncol. 2013;52:886–92.CrossRefPubMed
2.
go back to reference Nayeemuddin M, Pherwani AD, Asquith JR. Imaging and management of complications of central venous catheters. Clin Radiol. 2013;68:529–44.CrossRefPubMed Nayeemuddin M, Pherwani AD, Asquith JR. Imaging and management of complications of central venous catheters. Clin Radiol. 2013;68:529–44.CrossRefPubMed
3.
go back to reference Jevon P, Ewens B. Monitoring the Critically Ill Patient. 3rd ed. Chichester: Wiley-Blackwell; 2012. p. 115–54. Jevon P, Ewens B. Monitoring the Critically Ill Patient. 3rd ed. Chichester: Wiley-Blackwell; 2012. p. 115–54.
4.
go back to reference Lyon M, Blaivas M, Brannam L. Sonographic measurement of the inferior vena cava as a marker of blood loss. Am J Emerg Med. 2005;23:45–50.CrossRefPubMed Lyon M, Blaivas M, Brannam L. Sonographic measurement of the inferior vena cava as a marker of blood loss. Am J Emerg Med. 2005;23:45–50.CrossRefPubMed
5.
go back to reference Pittman JA, Ping JS, Mark JB. Arterial and central venous pressure monitoring. Int Anesthesiol Clin. 2004;42:13–30.CrossRefPubMed Pittman JA, Ping JS, Mark JB. Arterial and central venous pressure monitoring. Int Anesthesiol Clin. 2004;42:13–30.CrossRefPubMed
6.
go back to reference Robinson JF, Robinson WA, Cohn A, Garg K, Armstrong JD. Perforation of great vessels during central venous line placement. Arch Intern Med. 1995;155:1225–8.CrossRefPubMed Robinson JF, Robinson WA, Cohn A, Garg K, Armstrong JD. Perforation of great vessels during central venous line placement. Arch Intern Med. 1995;155:1225–8.CrossRefPubMed
7.
go back to reference Field JM, Bresler MJ. The Textbook of Emergency Cardiovascular Care and CPR. Philadelphia: Lipincott; 2009. Field JM, Bresler MJ. The Textbook of Emergency Cardiovascular Care and CPR. Philadelphia: Lipincott; 2009.
8.
go back to reference Lyon M, Verma N. Ultrasound guided volume assessment using inferior vena cava diameter. Open Emerg Med J. 2010;3:22–4.CrossRef Lyon M, Verma N. Ultrasound guided volume assessment using inferior vena cava diameter. Open Emerg Med J. 2010;3:22–4.CrossRef
9.
go back to reference Mauro MA, Murphy K, Thomson K, Venbrux A, Zollikofe CL. Image-Guided Intervention. Philadelphia: Elsevier; 2008. Mauro MA, Murphy K, Thomson K, Venbrux A, Zollikofe CL. Image-Guided Intervention. Philadelphia: Elsevier; 2008.
10.
11.
go back to reference 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;66:493–6.CrossRefPubMed 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;66:493–6.CrossRefPubMed
12.
go back to reference Sefidbakht S, Assadsangabi R, Abbasi HR, Nabavizadeh A. Sonographic measurement of the inferior vena cava as a predictor of shock in trauma patients. Emerg Radiol. 2007;14:181–5.CrossRefPubMed Sefidbakht S, Assadsangabi R, Abbasi HR, Nabavizadeh A. Sonographic measurement of the inferior vena cava as a predictor of shock in trauma patients. Emerg Radiol. 2007;14:181–5.CrossRefPubMed
13.
go back to reference Zengin S, Al B, Genc S, et al. Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia. Am J Emerg Med. 2013;31:763–7.CrossRefPubMed Zengin S, Al B, Genc S, et al. Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia. Am J Emerg Med. 2013;31:763–7.CrossRefPubMed
14.
go back to reference Nagdev AD, Merchant RC, Tirado-Gonzalez A, Sisson CA, Murphy MC. Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med. 2009;55:290–5.CrossRefPubMed Nagdev AD, Merchant RC, Tirado-Gonzalez A, Sisson CA, Murphy MC. Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med. 2009;55:290–5.CrossRefPubMed
15.
go back to reference Citilcioglu S, Sebe A, Ay MO, Icme F. The relationship between inferior vena cava diameter measured by bedside ultrasonography and central venous pressure value. Pak J Med Sci. 2014;30:310–5.CrossRefPubMedPubMedCentral Citilcioglu S, Sebe A, Ay MO, Icme F. The relationship between inferior vena cava diameter measured by bedside ultrasonography and central venous pressure value. Pak J Med Sci. 2014;30:310–5.CrossRefPubMedPubMedCentral
Metadata
Title
The Correlation Between Inferior Vena Cava Diameter Measured by Ultrasonography and Central Venous Pressure
Authors
Hans Vaish
Virendra Kumar
Rama Anand
Viswas Chhapola
Sandeep Kumar Kanwal
Publication date
01-10-2017
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 10/2017
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-017-2433-y

Other articles of this Issue 10/2017

Indian Journal of Pediatrics 10/2017 Go to the issue

Editorial Commentary

Hepcidin and Thalassemia

Review Article

Child with Vomiting

Review Article

Febrile Child