Determination of the correlation between ultrasonographically obtained indices of cervical vessels and central venous pressure in critically ill pediatric patients; [Stanovenie korelácie medzi ultrasonograficky získanými indexami krčných ciev a centrálnym venóznym tlakom u kriticky chorých detských pacientov]

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F24%3A10001258" target="_blank" >RIV/00064190:_____/24:10001258 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.36290/aim.2024.010" target="_blank" >https://doi.org/10.36290/aim.2024.010</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.36290/aim.2024.010" target="_blank" >10.36290/aim.2024.010</a>

Result language

angličtina

Original language name

Determination of the correlation between ultrasonographically obtained indices of cervical vessels and central venous pressure in critically ill pediatric patients; [Stanovenie korelácie medzi ultrasonograficky získanými indexami krčných ciev a centrálnym venóznym tlakom u kriticky chorých detských pacientov]

Original language description

Objective: The study aimed to determine the corMaterial and methods: 77 patients aged 0 to under 19 years with insertedrelation between noninvasively ultrasonographically obtained cervical vessel indices and invasively measured central venous pressure in critically ill pediatric patients. Design: Prospective observational study. Setting: Department of pediatric intensive care, university hospital. Material and methods: 77 patients aged 0 to under 19 years with inserted central venous catheter and central venous pressure monitoring requiring admission to the department of intensive care medicine were included in the study. Both spontaneously ventilating patients and patients on artificial pulmonary ventilation, hemodynamically stable patients, and children with circulatory support with low-dose vasoactive agents were included in the study. Each continuous variable (ultrasonographic indices, age, height, weight, central venous pressure) was summarized by descriptive statistics, the distribution of variables was examined, and the correlation was quantified by Spearman correlation. The analysis was performed in the entire data set as well as in individual patient subgroups. Results: In the group of all measurements, the collapsibility index of the internal jugular vein in B mode (-0.58, p &lt; 0.001), the collapsibility index of the internal jugular vein in M mode (-0.45, p &lt;0.001), and the ratio of the internal jugular vein in 30-and 0-degree position (0.43, p &lt; 0.001) had the highest correlation with central venous pressure. In the group of spontaneously ventilated patients, the highest correlation with central venous pressure was also found for the collapsibility index of internal jugular vein in B mode (-0.51, p &lt; 0.001), and in patients on artificial pulmonary ventilation for the collapsibility index of internal jugular vein in B mode (-0.55, p &lt; 0.001) and the distensibility index of internal jugular vein in B mode (-0.55, p &lt; 0.001). The correlation of the ratio of the internal jugular vein and common carotid artery with central venous pressure was low in all measurements group (0.25, p &lt; 0.05), low in the spontaneously ventilated group (0.3, p &lt; 0.05) and none in the artificially ventilated group (0.04). Conclusion: The results of the present study suggest that ultrasonographically obtained cervical vessel indices may pro-vide a non-invasive, easily repeatable, bedside alternative to central venous pressure examination in the estimation of intravascular filling in critically ill pediatric patients. © 2024, Czech Medical Association J.E. Purkyne. All rights reserved.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30223 - Anaesthesiology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Anesteziologie &amp; intenzivní medicína

ISSN

1214-2158

e-ISSN

1805-4412

Volume of the periodical

35

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

7

Pages from-to

12-18

UT code for WoS article

001222008700006

EID of the result in the Scopus database

2-s2.0-85194150237