Relativity of fluid-responsiveness was an important aspect of daily management in critically ill patients. Non-invasive calculating of the differentiation of inferior vena cava (IVC) diameter while ventilation might have given needed data. Furthermore, a standard sagittal IVC visualization from the subcostal (SC) region was not always feasible. An alternative process to visualize the IVC was a coronal trans-hepatic (TH) approach. For a study, researchers performed research to explore the interchangeability of IVC calculation with SC and TH views. Investigators analyzed Medline and EMBASE to know the prospective process. They did not consider the association between axial and sagittal visualization of the IVC. Study group included 7 studies reporting data on IVC calculation with both SC and TH IVC views. However, 4 studies were conducted on spontaneously breathing patients/volunteers, 2 on full, regularly ventilated patients, and 1 in a mixed population, with large heterogeneity regarding the analyses reported. The limits of agreement between SC and TH were large. Concordance of the IVC collapsibility/distensibility indices were not interchangeable between SC and TH view. Correlation between diameters measured with SC and TH detain and intra/inter-observer association produced variable outcomes. A summary of the needed research suggested that longitudinal TH and SC assessments of IVC size and respiratory variation were not interchangeable. New research with correct information reporting and appropriate statistical data defined proper cut-offs for fluid responsiveness when using TH detain for IVC visualization.
Source – sciencedirect.com/science/article/abs/pii/S088394412200137X
