Correlation between Inferior Vena Cava Diameter Assessed on Ultrasonography and Central Venous Pressure among Critically ILL Patients Admitted In Intensive Care Unit
DOI:
https://doi.org/10.51985/JBUMDC2019118Keywords:
central venous pressure, inferior vena cavaAbstract
Objective: To assess the correlation between inferior vena cava(IVC) diameter and central venous pressure (CVP) in critical
patients admitted in ICU.
Study Design and Setting: The cross-sectional pilot study was conducted at Radiology Department of PNS SHIFA Hospital.
Methodology: 18-80 years patients were included and patients with severe orthopnea, unable to lie in supine position,
morbid obese, pneumothorax, mass in mediastinum, tricuspid regurgitation and intra-cerebral bleeds were excluded.
Results: The mean age of 50 patients was 41.44±16.73 years. Mean measurement of CVP was considered as 10.41±4.18
mm. Mean diameter of IVC was 12.65±2.22 mm. The study results showed weak negative correlation between the CVP
and IVC (r= - 0.110, p=0.04). It was also predicted that patients with age =50 years showed weak negative correlation
between the CVP and IVC (r=-0.290, p=0.034). Similarly, in patients with age >50 years there was strong negative correlation
between CVP and IVC (r=-0.680, p=0.045). The study results also showed that in male patients there was weak negative
correlation between the CVP and IVC i.e. (r=-0.045, p=0.048). However, in female patients there was moderate positive
correlation (r=0.685, p=0.001).
Conclusion: Weak negative correlation was found between inferior vena cava diameter on ultrasonography and central
venous pressure measurement among critically ill patients
References
Perel A, Saugel B, Teboul JL, Malbrain ML, Belda FJ,
Fernández-Mondéjar E, et al. The effects of advanced
monitoring on hemodynamic management in critically ill
patients: a pre and post questionnaire study. JCMC.
;30(5):511-8.
Shalaby MI, Roshdy HM, Elmahdy WM, El Mezayen AE.
Correlation between Central Venous Pressure and the Diameter
of Inferior Vena Cava by using Ultrasonography for the
Assessment of the Fluid Status in Intensive Care Unit Patients.
TEJHM. 2018;72(10):5375-85.
Holroyd JL, Vasilopoulos T, Rice MJ, Rand KH, Fahy BG.
Incidence of central venous catheter hub contamination. JCC.
;39:162-8.
Betancourt MG, Moreno-Montoya J, González AM, Ovalle
JC, Martínez YF. Learning process and improvement of pointof-care ultrasound technique for subxiphoid visualization of
the inferior vena cava.CUJ. 2016;8(1):4-9.
Hanafe MG, Rashidi M, Mohamadian Y. Estimation of central
venous pressure by measuring IVC collapsibility index by
sonography. EJGM. 2018;15(4)1-7.
Abdelwahab HW, El-Wahab RA.Correlation of Bedside Ultrasonographic Measurement of IVC Diameter and Caval Index
with CVP in Spontaneously Breathing and Mechanically Ventilated Patients.JEmerg Med Critical Care.2017;3(1):2-3
Aydin SA, Ozdemir F, Taskin G, Ocakoglu G, Yýldýrým H,
Koksal O. Is there a relationship between the diameter of the
inferior vena cava and hemodynamic parameters in critically
ill patients? NJCP. 2015;18(6):810-3.
Brinkley Jr DM, Ho KK, Drazner MH, Kociol RD. The
prognostic value of the relationship between right atrial and
pulmonary capillary wedge pressure in diverse cardiovascular
conditions.AHJ. 2018;199:31-6.
Pellicori P, Kallvikbacka-Bennett A, Dierckx R, Zhang J,
Putzu P, Cuthbert J, et al. Prognostic significance of ultrasoundassessed jugular vein distensibility in heart failure. Heart.
;101(14):1149-58.
Zanobetti M, Prota A, Coppa A, Giordano L, Bigiarini S,
Nazerian P, et al. Can non-invasive ventilation modify central
venous pressure? Comparison between invasive measurement
and ultrasonographicevaluation.Internal and emergency
medicine. 2017;12(8):1279-85.
Chattopadhyay A, Lodha R. Can Inferior Vena Cava
Measurement be an Alternative to Central Venous Pressure
Measurement? TIJP. 2017;84(10):733-4.
Taneja K, Kumar V, Anand R, Pemde HK. Normative Data
for IVC Diameter and its Correlation with the Somatic Parameters in Healthy Indian Children.THJP. 2018;85(2):108-12.
Govender J, Postma I, Wood D, Sibanda W. Is there an
association between central venous pressure measurement
and ultrasound assessment of the inferior vena cava? AJEM.
;8(3):106-9.
Theerawit P, Morasert T, Sutherasan Y. Inferior vena cava
diameter variation compared with pulse pressure variation as
predictors of fluid responsiveness in patients with sepsis.
JCC. 2016;36:246-51.
Iturbide I, Santiago ML, Henain F, Golab K, Tentoni ME,
Fuentes S. Ultrasound Evaluation of the Inferior Vena Cava
in Hemodynamically Unstable Patients. Rev. Argent. Radiol.
;81(3):209-13.
Ilyas A, Ishtiaq W, Assad S, Ghazanfar H, Mansoor S, Haris
M, et al. Correlation of IVC diameter and collapsibility index
with central venous pressure in the assessment of intravascular
volume in critically ill patients. Cureus. 2017;9(2).
Worapratya P, Anupat S, Suwannanon R, Wuthisuthimethawee
P. Correlation of caval index, inferior vena cava diameter,
and central venous pressure in shock patients in the emergency
room. OAEM. 2014;6:57-62.
Via G, Tavazzi G, Price S. Ten situations where inferior vena
cava ultrasound may fail to accurately predict fluid
responsiveness: a physiologically based point of view. ICM.
;42(7):1164-7.
Garg M, Sen J, Goyal S, Chaudhry D. Comparative evaluation
of central venous pressure and sonographic inferior vena cava
variability in assessing fluid responsiveness in septic shock.
Indian journal of critical care medicine: peer-reviewed, official
publication of ISCCM. 2016;20(12):708-13.
Airapetian N, Maizel J, Alyamani O, Mahjoub Y, Lorne E,
Levrard M, et al. Does inferior vena cava respiratory variability
predict fluid responsiveness in spontaneously breathing
patients? Critical Care. 2015;19(1):400-8.
Ciozda W, Kedan I, Kehl DW, Zimmer R, Khandwalla R,
Kimchi A. The efficacy of sonographic measurement of
inferior vena cava diameter as an estimate of central venous
pressure.Cardiovascular ultrasound. 2015;14(1):33-41.
Sridhar H, Mangalore P, Chandrasekaran VP, Manikam R.
Caval Aorta Index and Central Venous Pressure Correlation
in Assessing Fluid Status! “Ultrasound Bridging the
Gap”.ISRN. 2012;2:4-10
Naghipour B, Faridaalaee G. Correlation between central
venous pressure and inferior vena cava sonographic diameter;
determining the best anatomic location. Emergency.
;4(2):83-7.
Ng L, Khine H, Taragin BH, Avner JR, Ushay M, Nunez D.
Does bedside sonographic measurement of the inferior vena
cava diameter correlate with central venous pressure in the
assessment of intravascular volume in children?.Pediatric
emergency care. 2013;29(3):337-41.
Thanakitcharu P, Charoenwut M, Siriwiwatanakul N. Inferior
vena cava diameter and collapsibility index: a practical noninvasive evaluation of intravascular fluid volume in criticallyill patients. J Med Assoc Thai. 2013;96(3):14-22.
Khalil A, Khan A, Hayat A. Correlation of inferior vena cava
(IVC) diameter and central venous pressure (CVP) for fluid
monitoring in ICU. PAFMJ. 2015;65(2):235-8
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Shabih Zehra, Atif Latif, Asiya Kazi, Syed Ijaz Hussain Zaidi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
