My patient has no blood pressure: are they empty or full? Point-of-care ultrasound of the inferior vena cava in the hypotensive emergency department patient

Ultrasound ◽  
2011 ◽  
Vol 19 (3) ◽  
pp. 169-173 ◽  
Author(s):  
Paul Atkinson ◽  
Cathy Daly
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Emergency Department Patient ◽  
Point Of Care Ultrasound

Case Report: A cardiac mass diagnosed using Point-of-care ultrasound in a dyspneic patient. An integrated ultrasound examination of lung-heart-Inferior Vena Cava

POCUS Journal ◽  
2017 ◽  
Vol 2 (3) ◽  
pp. 20-21 ◽  
Author(s):  
Maria Viviana Carlino, MD ◽  
Costantino Mancusi, MD ◽  
Alfonso Sforza, MD ◽  
Giorgio Bosso, MD ◽  
Valentina Di Fronzo, MD ◽  
...  
Keyword(s):  
Emergency Department ◽  
Heart Rate ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Point Of Care Ultrasound ◽  
Bundle Branch Block ◽  
History Of ◽  
Time Of Admission

A 74-year-old woman with history of hypertension presented to the Emergency Department (ED) with severe resting dyspnea and swelling in the feet, ankles and legs. She was on treatment with furosemide and a beta blocker. At the time of admission blood pressure was 145/88 mmHg, heart rate (HR) 99 bpm, regular, oxygen saturation was 89% (FiO2 21%) and respiratory rate was 17 breaths/min. Abbreviation List AST: Aspartate aminotransferase ED: Emergency Department GFR: Glomerular Filtration Rate HCC: Hepatocellular Carcinoma HF: Heart Failure HR: Heart rate IVC: Inferior vena cava LAFB: Left anterior fascicular block LV: Left ventricle NT-pro-BNP: N-Terminal pro-Brain Natriuretic peptide POCUS: Point-of-care ultrasound RA: Right atrium RBB: Right bundle branch block RV: Right ventricle TS: Tricuspid stenosis

scholarly journals Man With Bilateral Leg Swelling

2019 ◽  
Vol 3 (4) ◽  
pp. 451-452
Author(s):  
Jake Toy ◽  
Alexander Garrett ◽  
Yiju Liu
Keyword(s):  
Emergency Department ◽  
Lower Extremity ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Point Of Care Ultrasound ◽  
Heterogeneous Structure ◽  
Lower Extremity Edema ◽  
Primary Renal Cell Carcinoma

A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous structure in the inferior vena cava that was determined to represent a tumor thrombus extending from a primary renal cell carcinoma. This case demonstrates how POCUS was valuable in rapidly diagnosing this rare cause of lower extremity edema and its usefulness in directing the initial ED management of this patient.

scholarly journals Learning process and improvement of point-of-care ultrasound technique for subxiphoid visualization of the inferior vena cava

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Mauricio Gómez Betancourt ◽  
José Moreno-Montoya ◽  
Ana-María Barragán González ◽  
Juan Carlos Ovalle ◽  
Yury Forlan Bustos Martínez
Keyword(s):  
Inferior Vena Cava ◽  
Learning Process ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Point Of Care Ultrasound ◽  
Ultrasound Technique

scholarly journals Inferior vena cava point of care ultrasound: new perspectives in management of hyponatraemia

2014 ◽  
Vol 6 (S2) ◽  
Author(s):  
P Pasquero ◽  
AV Taulaigo ◽  
S Albani ◽  
E Sitia ◽  
P Berchialla ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Point Of Care Ultrasound

scholarly journals Thrombosis of Inferior Vena Cava Diagnosed Using Point-of-Care Ultrasound After Pediatric Near-Syncope

2016 ◽  
Vol 51 (4) ◽  
pp. e89-e91 ◽  
Author(s):  
Shadi Lahham ◽  
Lester Tsai ◽  
Sean P. Wilson ◽  
Samer Assaf ◽  
Roman Navarro ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Point Of Care Ultrasound

scholarly journals Ultrasonographic inferior vena cava collapsibility and distensibility indices for detecting the volume status of critically ill pediatric patients

2020 ◽  
Vol 20 (82) ◽  
pp. 205-209
Author(s):  
Dincer Yildizdas ◽  
◽  
Nagehan Aslan ◽  
Keyword(s):  
Intensive Care ◽  
Inferior Vena Cava ◽  
Critically Ill ◽  
Inferior Vena ◽  
Point Of Care ◽  
Vena Cava ◽  
Pediatric Intensive Care ◽  
Point Of Care Ultrasound ◽  
Care Providers ◽  
Collapsibility Index

Especially in recent years, the use of point-of-care ultrasound by non-radiologist clinicians has become widespread. Point-of-care ultrasound provides rapid responses to the problems of critically ill patients at the bedside. This technique has many important advantages, including being non-invasive, cheap, repeatable, painless, and radiation-free. Numerous studies have revealed the most important clinical benefits of point-of-care ultrasound use by pediatric intensive care providers. The inferior vena cava is a vessel that is highly sensitive to fluid changes. The inferior vena cava diameter can be measured by a point-of-care ultrasound, and represents a critical parameter in assessing the patient’s fluid status. The inferior vena cava collapsibility index (in spontaneously breathing patients) and the inferior vena cava distensibility index (in mechanically ventilated patients) are calculated by determined formulas by using maximum and minimum diameters of the inferior vena cava. The indices are important guides for pediatric intensive care providers for managing their patients’ fluid treatment. Although some authors claim it is not a reliable method, the technique is coming to fore in intensive care units day by day, and has an increasing trend among pediatric intensive care specialists. Here, we aim to give detailed information on the ultrasonographic inferior vena cava diameter measurement methods, and calculations of the inferior vena cava collapsibility index and inferior vena cava distensibility index, and emphasize the importance of a noninvasive, bedside, and objective method of detecting the volume status of critically ill patients for pediatric intensive care specialists according to the published literature.

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