What every intensivist should know about the IVC

被引:9
作者
Rola, Philippe [1 ]
Haycock, Korbin [2 ,3 ,4 ]
Spiegel, Rory [5 ,6 ]
机构
[1] Santa Cabrini Hosp, Intens Care Unit, CEMTL, Montreal, PQ, Canada
[2] Riverside Univ Hlth Syst, Emergency Dept, Moreno Valley, CA USA
[3] Loma Linda Univ, Med Ctr, Loma Linda, CA USA
[4] Desert Reg Med Ctr, Palm Springs, CA USA
[5] Medstar Washington Hosp Ctr, Dept Crit Care, Washington, DC USA
[6] Medstar Washington Hosp Ctr, Dept Emergency Med, Washington, DC USA
关键词
IVC POCUS; Fluid responsiveness; Fluid tolerance; Resuscitation; Critical care;
D O I
10.1016/j.jcrc.2023.154455
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Assessment of the IVC by point-of-care ultrasound in the context of resuscitation has been a controversial topic in the last decades. Most of the focus had been on its use as a surrogate marker for fluid responsiveness, with results being equivocal. We review its important anatomical aspects as well as the physiological rationale behind ultrasound assessment and propose a new way to do so, as well as explain its central role in the concept of fluid tolerance.
引用
收藏
页数:5
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