The use of preoperative inferior vena cava ultrasound to predict anaesthesia-induced hypotension: a systematic review
Preoperative ultrasound assessment of inferior vena cava (IVC) diameter and the collapsibility index might identify patients with intravascular volume depletion. The purpose of this review was to gather the existing evidence to find out whether preoperative IVC ultrasound (IVCUS) derived parameters...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2023-03-01
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| Series: | Anaesthesiology Intensive Therapy |
| Subjects: | |
| Online Access: | https://www.termedia.pl/The-use-of-preoperative-inferior-vena-cava-ultrasound-r-nto-predict-anaesthesia-induced-hypotension-a-systematic-review,118,50184,1,1.html |
| _version_ | 1797842686880776192 |
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| author | Sumit Chowdhury Priyankar Datta Souvik Maitra Dimple Rawat Dalim Baidya Avishek Roy Sayan Nath |
| author_facet | Sumit Chowdhury Priyankar Datta Souvik Maitra Dimple Rawat Dalim Baidya Avishek Roy Sayan Nath |
| author_sort | Sumit Chowdhury |
| collection | DOAJ |
| description | Preoperative ultrasound assessment of inferior vena cava (IVC) diameter and the collapsibility index might identify patients with intravascular volume depletion. The purpose of this review was to gather the existing evidence to find out whether preoperative IVC ultrasound (IVCUS) derived parameters can reliably predict hypotension after spinal or general anaesthesia. PubMed was searched to identify research articles that addressed the role of IVC ultrasound in predicting hypotension after spinal and general anaesthesia in adult patients. We included 4 randomized control trials and 17 observational studies in our final review. Among these, 15 studies involved spinal anaesthesia and 6 studies involved general anaesthesia. Heterogeneity with respect to the patient populations under evaluation, definitions used for hypotension after anaesthesia, IVCUS assessment methods, and cut-off values for IVCUS-derived parameters to predict hypotension precluded pooled meta-analysis. The maximum and minimum reported sensitivity of the IVC collapsibility index (IVCCI) for predicting post-spinal hypotension was 84.6% and 58.8% respectively, while the maximum and minimum specificities were 93.1% and 23.5% respectively. For the prediction of hypotension after general anaesthesia induction, the reported ranges of sensitivity and specificity of IVCCI were 86.67% to 45.5% and 94.29% to 77.27%, respectively. Current literature on the predictive role of IVCUS for hypotension after anaesthesia is heterogeneous both in methodology and in results. Standardization of the definition of hypotension under anaesthesia, method of IVCUS assessment, and the cut-offs for IVC diameter and the collapsibility index for prediction of hypotension after anaesthesia are necessary for drawing clinically relevant conclusions. |
| first_indexed | 2024-04-09T16:51:58Z |
| format | Article |
| id | doaj.art-1716116f5d684e658105387143b8e75a |
| institution | Directory Open Access Journal |
| issn | 1642-5758 1731-2531 |
| language | English |
| last_indexed | 2024-04-09T16:51:58Z |
| publishDate | 2023-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Anaesthesiology Intensive Therapy |
| spelling | doaj.art-1716116f5d684e658105387143b8e75a2023-04-21T09:42:10ZengTermedia Publishing HouseAnaesthesiology Intensive Therapy1642-57581731-25312023-03-01551183110.5114/ait.2023.12531050184The use of preoperative inferior vena cava ultrasound to predict anaesthesia-induced hypotension: a systematic reviewSumit ChowdhuryPriyankar DattaSouvik MaitraDimple RawatDalim BaidyaAvishek RoySayan NathPreoperative ultrasound assessment of inferior vena cava (IVC) diameter and the collapsibility index might identify patients with intravascular volume depletion. The purpose of this review was to gather the existing evidence to find out whether preoperative IVC ultrasound (IVCUS) derived parameters can reliably predict hypotension after spinal or general anaesthesia. PubMed was searched to identify research articles that addressed the role of IVC ultrasound in predicting hypotension after spinal and general anaesthesia in adult patients. We included 4 randomized control trials and 17 observational studies in our final review. Among these, 15 studies involved spinal anaesthesia and 6 studies involved general anaesthesia. Heterogeneity with respect to the patient populations under evaluation, definitions used for hypotension after anaesthesia, IVCUS assessment methods, and cut-off values for IVCUS-derived parameters to predict hypotension precluded pooled meta-analysis. The maximum and minimum reported sensitivity of the IVC collapsibility index (IVCCI) for predicting post-spinal hypotension was 84.6% and 58.8% respectively, while the maximum and minimum specificities were 93.1% and 23.5% respectively. For the prediction of hypotension after general anaesthesia induction, the reported ranges of sensitivity and specificity of IVCCI were 86.67% to 45.5% and 94.29% to 77.27%, respectively. Current literature on the predictive role of IVCUS for hypotension after anaesthesia is heterogeneous both in methodology and in results. Standardization of the definition of hypotension under anaesthesia, method of IVCUS assessment, and the cut-offs for IVC diameter and the collapsibility index for prediction of hypotension after anaesthesia are necessary for drawing clinically relevant conclusions.https://www.termedia.pl/The-use-of-preoperative-inferior-vena-cava-ultrasound-r-nto-predict-anaesthesia-induced-hypotension-a-systematic-review,118,50184,1,1.htmlinferior vena cava fluid responsiveness inferior vena cava collapsibility index inferior vena cava ultrasound transthoracic echocardiography spinal anaesthesia hypotension ultrasound |
| spellingShingle | Sumit Chowdhury Priyankar Datta Souvik Maitra Dimple Rawat Dalim Baidya Avishek Roy Sayan Nath The use of preoperative inferior vena cava ultrasound to predict anaesthesia-induced hypotension: a systematic review Anaesthesiology Intensive Therapy inferior vena cava fluid responsiveness inferior vena cava collapsibility index inferior vena cava ultrasound transthoracic echocardiography spinal anaesthesia hypotension ultrasound |
| title | The use of preoperative inferior vena cava ultrasound
to predict anaesthesia-induced hypotension: a systematic review |
| title_full | The use of preoperative inferior vena cava ultrasound
to predict anaesthesia-induced hypotension: a systematic review |
| title_fullStr | The use of preoperative inferior vena cava ultrasound
to predict anaesthesia-induced hypotension: a systematic review |
| title_full_unstemmed | The use of preoperative inferior vena cava ultrasound
to predict anaesthesia-induced hypotension: a systematic review |
| title_short | The use of preoperative inferior vena cava ultrasound
to predict anaesthesia-induced hypotension: a systematic review |
| title_sort | use of preoperative inferior vena cava ultrasound to predict anaesthesia induced hypotension a systematic review |
| topic | inferior vena cava fluid responsiveness inferior vena cava collapsibility index inferior vena cava ultrasound transthoracic echocardiography spinal anaesthesia hypotension ultrasound |
| url | https://www.termedia.pl/The-use-of-preoperative-inferior-vena-cava-ultrasound-r-nto-predict-anaesthesia-induced-hypotension-a-systematic-review,118,50184,1,1.html |
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