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New approaches to sonomorphometry of the inferior vena cava in children

https://doi.org/10.51523/2708-6011.2021-18-1-12

Abstract

Objective: to develop a criterion for normality/abnormality of the inferior vena cava diameter in children that is convenient to use in wide clinical practice.

Material. In order to achieve the above objective, we performed measurements of the antero-posterior cross-section of the inferior vena cava in children (n = 100) in different age periods.

Results. We have determined a criterion allowing of assessing the normality/abnormality of the inferior vena cava diameter in different age periods with sufficiently high accuracy.

Conclusion. The work has concluded on the potential of the use of the coefficient reflecting the ratio of height and diameter (range — 0.04–0.1) as a reliable reference point for the assessment of the normality / abnormality of the inferior vena cava diameter in different age periods.

About the Authors

A. M. Yurkovskiy
Gomel State Medical University
Belarus

Alexei М. Yurkovskiy,. Cand. Sc. (Medicine), Associate Professor at the Department of Internal Diseases No.3 with the course of Radiodiagnostics, Radiotherapy, Gomel



D. S. Yurkovskiy
Gomel State Medical University
Belarus

Dmitriy S. Yurkovskiy, Assistant Lecturer at the Department of Internal Diseases No.3 with the course of Radiodiagnostics, Radiotherapy, Gomel



References

1. Brennan JM, Ronan A, Goonewardena S, Blair JEA, Hammes М, Shah D et al. Handcarried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clinical J. Am. Society Nephrology. 2006;1(4):749-753. https://doi.org/10.2215/CJN.00310106

2. Millington SJ. Ultrasound assessment of the inferior vena cava for fluid responsiveness: easy, fun, but unlikely to be helpful. J Can Anesth. 2019; 66(6):633–638. https://doi.org/10.1007/s12630-019-01357-0

3. 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. https://doi.org/10.1186/s12947-016-0076-1

4. Juhl-Olsen P, Vistisen ST, Christiansen LK, Rasmussen LA, Frederiksen CA, Sloth E. Ultrasound of the inferior vena cava does not predict hemodynamic response to early hemorrhage. J. Emergency Medicine. 2013;45(4):592–597. https://doi.org/10.1016/j.jemermed.2013.03.044

5. Chen J, Li J, Ding X, Wei G, Wang X, Li Q. Automated ultrasound measurement of the inferior vena cava: an animal study. Ultrasonic Imaging. 2020;42(3):148-158. https://doi.org/10.1177/0161734620912345

6. Kathuria, N, Ng L, Saul T, Lewiss RE. The baseline diameter of the inferior vena cava measured by sonography increases with age in normovolemic children. J. Ultrasound in Medicine. 2015;34(6):1091–1096. https://doi.org/10.7863/ultra.34.6.1091

7. Finnerty NM, Panchal AR, Boulger C, Vira A, Bischof JJ, Amick C et al. Inferior vena cava measurement with ultrasound: what is the best view and best mode? Western J. Emergency Medicine. 2017;18(3):496–501. https://doi.org/10.5811/westjem.2016.12.32489

8. Lin MJ, Neuman M, Rempell R, Monuteaux M, Levy J. Point-of-care ultrasound is associated with decreased length of stay in children presenting to the emergency department with soft tissue infection. J. Emergency Medicine. 2018;54(1);96–101. https://doi.org/10.1016/j.jemermed.2017.09.017

9. Mookadam F, Warsame TA, Yang HS, Emani UR, Appleton CP, Raslan SF. Effect of positional changes on inferior vena cava size. European J Echocardiography. 2011;12:322–325. https://doi.org/10.1093/ejechocard/jer018

10. Yamanoglu A, Yamanoglu NGC, Ozturk S, Cakmak S, Akay S, Akyol PY et al. The value of the inferior vena cava ultrasound in the decision to hospitalise in patients with acute decompensated heart failure; the best sonographic measurement method? Acta Cardiologica. 2020;1–13. https://doi.org/10.1080/00015385.2020.1740422

11. Purushothaman SS, Alex A, Kesavan R, Balakrishnan S, Rajan S, Kumar L. Ultrasound measurement of inferior vena cava collapsibility as a tool to predict propofol induced hypotension. Anesth Essays Res. 2020;14(2):199-202. https://doi.org/10.4103/aer.AER_75_20

12. Mitchell C, Rahko PS, Blauwet LA, Canaday B, Finstuen JA, Foster MC et al. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. J American Society Echocardiography. 2018;32 (1):1-64. https://doi.org/10.1016/j.echo.2018.06.004

13. Pikov MI, Vatolin KV. Detskaya ultrazvukovaya diagnostika. Moskva, RF: Vidar; 2001. 680 p. (in Russ.)


Review

For citations:


Yurkovskiy A.M., Yurkovskiy D.S. New approaches to sonomorphometry of the inferior vena cava in children. Health and Ecology Issues. 2021;18(1):89-93. (In Russ.) https://doi.org/10.51523/2708-6011.2021-18-1-12

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)