Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients

Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by the means of Point-of care ultrasound provides an important, easily available and precise index for monitoring hemodyna...

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Autores principales:	Alireza Zeraatchi, Taraneh Naghibi, Hamid Kafili, Somayyeh Abdollahi Sabet
Formato:	article
Lenguaje:	EN
Publicado:	Tehran University of Medical Sciences 2021
Materias:	Internal jugular vein collapsibility index Positive end-expiratory pressure Hemodynamic monitoring Intensive Care Units (ICU) patients Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/b8054d83f3e7407c84584c3321ac075b
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spelling	oai:doaj.org-article:b8054d83f3e7407c84584c3321ac075b2021-11-20T04:39:31ZIs There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients10.18502/aacc.v7i4.76282423-5849https://doaj.org/article/b8054d83f3e7407c84584c3321ac075b2021-10-01T00:00:00Zhttps://aacc.tums.ac.ir/index.php/aacc/article/view/366https://doaj.org/toc/2423-5849 Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by the means of Point-of care ultrasound provides an important, easily available and precise index for monitoring hemodynamic status; a new method which is called Internal Jugular Vein Collapsibility Index (IJV-CI). Any events that alters intrathoracic volumes and pressures may affect this index. In this study we investigate the effects of various levels of positive end-expiratory pressure on this index. Methods: Thirty mechanically ventilated patients were studied. We used three different PEEP levels (0, 5 and 10 cmH2o) and point-of-care ultrasound evaluation of IJV (Internal Jugular Vein) diameter to determine the IJV-CI. The analysis were performed using SPSS V.25.0. Results: Patients were included men (76.6%) and women (33.3%). The mean age of patients was 39.65±3.4 for men and 42.71± 9.34 for women. The IJV-CI were 20.71±11.77 and 24.25±11.46 in PEEP=0 and PEEP=10 cmH20 groups respectively. In 5cmH20-PEEP group median and interquartile range were 16.45(14.8). The IJV-CI in three different PEEP levels were not statistically significantly different. Conclusion: According to the finding of this study, we found no evidence of an optimal PEEP level to measure The IJV-CI. Alireza ZeraatchiTaraneh NaghibiHamid KafiliSomayyeh Abdollahi SabetTehran University of Medical SciencesarticleInternal jugular vein collapsibility indexPositive end-expiratory pressureHemodynamic monitoringIntensive Care Units (ICU) patientsAnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENArchives of Anesthesia and Critical Care, Vol 7, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Internal jugular vein collapsibility index Positive end-expiratory pressure Hemodynamic monitoring Intensive Care Units (ICU) patients Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Internal jugular vein collapsibility index Positive end-expiratory pressure Hemodynamic monitoring Intensive Care Units (ICU) patients Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Alireza Zeraatchi Taraneh Naghibi Hamid Kafili Somayyeh Abdollahi Sabet Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
description	Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by the means of Point-of care ultrasound provides an important, easily available and precise index for monitoring hemodynamic status; a new method which is called Internal Jugular Vein Collapsibility Index (IJV-CI). Any events that alters intrathoracic volumes and pressures may affect this index. In this study we investigate the effects of various levels of positive end-expiratory pressure on this index. Methods: Thirty mechanically ventilated patients were studied. We used three different PEEP levels (0, 5 and 10 cmH2o) and point-of-care ultrasound evaluation of IJV (Internal Jugular Vein) diameter to determine the IJV-CI. The analysis were performed using SPSS V.25.0. Results: Patients were included men (76.6%) and women (33.3%). The mean age of patients was 39.65±3.4 for men and 42.71± 9.34 for women. The IJV-CI were 20.71±11.77 and 24.25±11.46 in PEEP=0 and PEEP=10 cmH20 groups respectively. In 5cmH20-PEEP group median and interquartile range were 16.45(14.8). The IJV-CI in three different PEEP levels were not statistically significantly different. Conclusion: According to the finding of this study, we found no evidence of an optimal PEEP level to measure The IJV-CI.
format	article
author	Alireza Zeraatchi Taraneh Naghibi Hamid Kafili Somayyeh Abdollahi Sabet
author_facet	Alireza Zeraatchi Taraneh Naghibi Hamid Kafili Somayyeh Abdollahi Sabet
author_sort	Alireza Zeraatchi
title	Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
title_short	Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
title_full	Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
title_fullStr	Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
title_full_unstemmed	Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients
title_sort	is there an optimal positive end-expiratory pressure to measure the internal jugular vein collapsibility index? a pilot study in mechanically ventilated patients
publisher	Tehran University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/b8054d83f3e7407c84584c3321ac075b
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Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients

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