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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 &gt;= 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

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • 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