Ultrasonography of jugular vein as a marker of hypovolemia in healthy volunteers

Abstract Background Our aim in this study was to use ultrasonography of internal jugular vein (IJV) instead of visual estimation by eye and to get more precise estimation of central venous pressure at supine position for estimating blood loss in healthy volunteers. Methods The values of the sonograp...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2013, Vol.31 (1), p.173-177
Main Authors: Unluer, Erden Erol, MD, Kara, Pinar Hanife, MD
Format: Article
Language:English
Subjects:
Adult
Blood
Blood & organ donations
Blood Donors
Central Venous Pressure
Confidence Intervals
Correlation coefficient
Cross-Sectional Studies
Emergency
Emergency medical care
Humans
Hypovolemia - diagnostic imaging
Jugular Veins - diagnostic imaging
Male
Patients
Prospective Studies
Pulse
Statistics, Nonparametric
Supine Position
Turkey
Ultrasonic imaging
Ultrasonography
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Our aim in this study was to use ultrasonography of internal jugular vein (IJV) instead of visual estimation by eye and to get more precise estimation of central venous pressure at supine position for estimating blood loss in healthy volunteers. Methods The values of the sonographic IJV collapse index and corrected IJV longitudinal length (cIJV LL) (vertical height of the jugular vein from the sternal angle of Louis plus 5 cm) were compared before and after blood donation. The correlations between the mean arterial pressure, pulse rate, IJV collapse index, and cIJV LL were analyzed using SPSS version 15.0 (SPSS, Chicago, IL) and G*Power version 3.1.2. (Franz Faul, Universitat Kiel, Germany) was used for power and sample size analysis. Results A total of 80 volunteers were enrolled in the study. The medians of cIJV LLs before and after blood donation were 6.67 (95% confidence interval [CI], 6.72-7.07) and 5.98 (95% CI, 6.09-6.40), respectively. The medians of IJV collapse indices before and after blood donation were 32.74 (95% CI, 32.73-39.50) and 38.88 (95% CI, 35.54-42.95), respectively. Preliminary results of our study revealed that cIJV LL and IJV collapse index were not well correlated (Spearman ρ correlation coefficient, 0.257; r = 0.128). Conclusion Although, the IJV collapse index was not found to be a useful parameter for evaluation of hypovolemia, cIJV LL is more valuable marker for the detection of blood loss at bedside.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2012.07.003