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العنوان
Validity of jugular vein collapsibility index in predicting fluid responsiveness in septic patients /
الناشر
Amr Reda Abdelrehim Mashaal ,
المؤلف
Amr Reda Abdelrehim Mashaal
هيئة الاعداد
باحث / Amr Reda Abdel Rehim Mashaal
مشرف / Nashwa Abed Elamir
مشرف / Khaled Abdel Wahab Selim
مشرف / Mohamed Amin Fakher
تاريخ النشر
2019
عدد الصفحات
121 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
طب الطوارئ
تاريخ الإجازة
24/11/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - critical care medicine
الفهرس
Only 14 pages are availabe for public view

from 148

from 148

Abstract

Objectives: The purpose of the study was to evaluate the validity of using internal jugular vein (IJV) diameter and collapsibility as a reliable index of fluid responsiveness in patients with sepsis. Methods: Hemodynamic data of patients with sepsis were collected before and after IV fluid bolus (7ml/kg) coupled with transthoracic echo to evaluate stroke volume variation before and after fluid bolus and ultrasound evaluation of IJV diameter and collapsibility (ratio of the difference between IJV maximal antero-posterior diameter and minimum diameter to minimum diameter x100). Patients were retrospectively divided into two groups; fluid responders (R), if CI increase of more than or equal to 15% after a 7ml/kg crystalloid infusion, and non-responders (NR). We compared differences in measured variables between R and NR groups and calculated receiver-operator-characteristic (ROC) curves of optimal IJV diameter and collapsibility and change in stroke volume sensitivity and specificity to predicting R