Internal jugular vein collapsibility does not predict fluid responsiveness in spontaneously breathing patients after cardiac surgery
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F23%3A43925933" target="_blank" >RIV/00064173:_____/23:43925933 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/23:10466536 RIV/00216208:11120/23:43925933 RIV/00064165:_____/23:10466536
Result on the web
<a href="https://doi.org/10.1007/s10877-023-01066-6" target="_blank" >https://doi.org/10.1007/s10877-023-01066-6</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s10877-023-01066-6" target="_blank" >10.1007/s10877-023-01066-6</a>
Alternative languages
Result language
angličtina
Original language name
Internal jugular vein collapsibility does not predict fluid responsiveness in spontaneously breathing patients after cardiac surgery
Original language description
PURPOSE: The objective of our study was to evaluate the diagnostic accuracy of internal jugular vein (IJV) collapsibility as a predictor of fluid responsiveness in spontaneously breathing patients after cardiac surgery. METHODS: In this prospective observational study, spontaneously breathing patients were enrolled on the first postoperative day after coronary artery bypass grafting. Hemodynamic data coupled with simultaneous ultrasound assessment of the IJV were collected at baseline and after passive leg raising test (PLR). Continuous cardiac index (CI), stroke volume (SV), and stroke volume variation (SVV) were assessed with FloTrac(TM)/EV1000TM. Fluid responsiveness was defined as an increase in CI >= 10% after PLR. We compared the differences in measured variables between fluid responders and non-responders and tested the ability of ultrasonographic IJV indices to predict fluid responsiveness. RESULTS: Fifty-four patients were included in the study. Seventeen (31.5%) were fluid responders. The responders demonstrated significantly lower inspiratory and expiratory diameters of the IJV at baseline, but IJV collapsibility was comparable (P = 0.7). Using the cut-off point of 20%, IJV collapsibility predicted fluid responsiveness with a sensitivity of 76.5% and specificity of 38.9%, ROC AUC 0.55. CONCLUSION: In spontaneously breathing patients after surgical coronary revascularisation, collapsibility of the internal jugular vein did not predict fluid responsiveness.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30223 - Anaesthesiology
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of Clinical Monitoring and Computing
ISSN
1387-1307
e-ISSN
1573-2614
Volume of the periodical
37
Issue of the periodical within the volume
6
Country of publishing house
DE - GERMANY
Number of pages
9
Pages from-to
1563-1571
UT code for WoS article
001046963900001
EID of the result in the Scopus database
2-s2.0-85168276360