Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension
Background: Post-spinal anesthesia hypotension is of common occurrence, and it hampers tissue perfusion. Several preoperative factors determine patient susceptibility to hypotension. This study aimed to assess the effectiveness of the Inferior Vena Cava Collapsibility Index (IVCCI) for predicting in...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001422000513 |
| _version_ | 1797786605634715648 |
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| author | Shayak Roy Nikhil Kothari Shilpa Goyal Ankur Sharma Rakesh Kumar Narender Kaloria Pradeep Bhatia |
| author_facet | Shayak Roy Nikhil Kothari Shilpa Goyal Ankur Sharma Rakesh Kumar Narender Kaloria Pradeep Bhatia |
| author_sort | Shayak Roy |
| collection | DOAJ |
| description | Background: Post-spinal anesthesia hypotension is of common occurrence, and it hampers tissue perfusion. Several preoperative factors determine patient susceptibility to hypotension. This study aimed to assess the effectiveness of the Inferior Vena Cava Collapsibility Index (IVCCI) for predicting intraoperative hypotension. Methods: One hundred twenty-nine adult patients who were scheduled for elective surgical procedures after administration of spinal (intrathecal) anesthesia were included in the study. Ultrasound evaluation of the Inferior Vena Cava (IVC) was done in the preoperative area, and the patients were shifted to the Operating Room (OR) for spinal anesthesia. An independent observer recorded the change in blood pressure after spinal anesthesia inside the OR. Results: Twenty-five patients developed hypotension (19.37%). Baseline systolic blood pressure and mean blood pressures were statistically higher in those patients who developed hypotension (p = 0.001). The logistic regression analysis for IVCCI and the incidence of hypotension showed r2 of 0.025. Receiver Operating Characteristic (ROC) curve analysis demonstrated the Area Under the Curve (AUC) of 0.467 (95% Confidence Interval, 0.338 to 0.597; p = 0.615). Conclusions: Preoperative evaluation of IVCCI is not a good predictor for the occurrence of hypotension after spinal anesthesia. |
| first_indexed | 2024-03-13T01:11:14Z |
| format | Article |
| id | doaj.art-f4fad17d673e4181a46cfce2f8369d95 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-03-13T01:11:14Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-f4fad17d673e4181a46cfce2f8369d952023-07-06T04:16:57ZengElsevierBrazilian Journal of Anesthesiology0104-00142023-07-01734385392Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotensionShayak Roy0Nikhil Kothari1Shilpa Goyal2Ankur Sharma3Rakesh Kumar4Narender Kaloria5Pradeep Bhatia6All India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaAll India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaAll India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaCorresponding author.; All India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaAll India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaAll India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaAll India Institute of Medical Sciences (AIIMS), Department of Anaesthesiology & Critical Care, Jodhpur, IndiaBackground: Post-spinal anesthesia hypotension is of common occurrence, and it hampers tissue perfusion. Several preoperative factors determine patient susceptibility to hypotension. This study aimed to assess the effectiveness of the Inferior Vena Cava Collapsibility Index (IVCCI) for predicting intraoperative hypotension. Methods: One hundred twenty-nine adult patients who were scheduled for elective surgical procedures after administration of spinal (intrathecal) anesthesia were included in the study. Ultrasound evaluation of the Inferior Vena Cava (IVC) was done in the preoperative area, and the patients were shifted to the Operating Room (OR) for spinal anesthesia. An independent observer recorded the change in blood pressure after spinal anesthesia inside the OR. Results: Twenty-five patients developed hypotension (19.37%). Baseline systolic blood pressure and mean blood pressures were statistically higher in those patients who developed hypotension (p = 0.001). The logistic regression analysis for IVCCI and the incidence of hypotension showed r2 of 0.025. Receiver Operating Characteristic (ROC) curve analysis demonstrated the Area Under the Curve (AUC) of 0.467 (95% Confidence Interval, 0.338 to 0.597; p = 0.615). Conclusions: Preoperative evaluation of IVCCI is not a good predictor for the occurrence of hypotension after spinal anesthesia.http://www.sciencedirect.com/science/article/pii/S0104001422000513HypotensionIVCCISpinal anaesthesiaUltrasound |
| spellingShingle | Shayak Roy Nikhil Kothari Shilpa Goyal Ankur Sharma Rakesh Kumar Narender Kaloria Pradeep Bhatia Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension Brazilian Journal of Anesthesiology Hypotension IVCCI Spinal anaesthesia Ultrasound |
| title | Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension |
| title_full | Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension |
| title_fullStr | Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension |
| title_full_unstemmed | Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension |
| title_short | Preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post-spinal anesthesia hypotension |
| title_sort | preoperative assessment of inferior vena cava collapsibility index by ultrasound is not a reliable predictor of post spinal anesthesia hypotension |
| topic | Hypotension IVCCI Spinal anaesthesia Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S0104001422000513 |
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