Department of Anesthesiology, National and Kapodistrian University of Athens, Athens, Greece.
Department of Anesthesia, Division of critical care, Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
J Clin Ultrasound. 2022 Jun;50(5):733-744. doi: 10.1002/jcu.23194. Epub 2022 Mar 18.
Rapid evaluation of intravascular volume status is vital; either excessive or limited fluid administration may result in adverse patient outcomes. In this narrative review, critical analysis of pertinent diagnostic accuracy studies is developed to delineate the role of inferior vena cava ultrasound measurements in the assessment of both intravascular volume status and fluid responsiveness in the emergency department and intensive care unit. In addition, limitations, and technical considerations of inferior vena cava ultrasound measurements as well as directions for future research are thoroughly discussed.
快速评估血管内容量状态至关重要;过多或过少的液体输注可能导致患者预后不良。在本综述中,对相关诊断准确性研究进行了批判性分析,以阐明下腔静脉超声测量在急诊科和重症监护病房评估血管内容量状态和液体反应性中的作用。此外,还详细讨论了下腔静脉超声测量的局限性和技术考虑因素以及未来研究的方向。