Scholarlink

Background <p>Improving tissue perfusion is fundamental for management of septic patients. Various invasive and non-invasive hemodynamic monitoring tools are used to guide fluid therapy properly and identify the early need for vasopressors or inotropes. This study intended to compare Electrical cardiometry (EC) versus Ultrasound-guided IVC collapsibility index (IVC-CI) for non-invasive bedside assessment of fluid responsiveness in patients with sepsis.</p> Methods <p>Sixty patients, aged 18–70 years, admitted to intensive care unit (ICU) with sepsis (SOFA score ≥ 2) were randomly allocated in two groups; group A in which EC monitor was used to assess fluid response (SVV &gt; 15% as responder) and group B in which IVC ultrasonography was applied to assess fluid response (IVC-CI &gt; 50% as responder). The 30-day mortality rate was recorded as primary outcome. Meanwhile, total amount of fluids, dose and duration of vasopressors, incidence of mechanical ventilation, ICU and hospital stay periods were recorded as secondary outcomes.</p> Results <p>No significant differences were noted regarding mortality incidence, ICU stay, and hospital stay periods. EC group demonstrated higher norepinephrine utilization (21.92 ± 16.37 vs 9.93 ± 9.57; <i>p</i> = 0.001), longer time to wean the vasopressors, and lower fluid consumption (3431.67 ± 1034.78 vs 4216.67 ± 1199.38; <i>p</i> = 0.009) than IVC group over 24 h. Fluid responders in each group showed higher values of SVV and IVC-CI than non-responders with comparable values regarding the conventional hemodynamic and clinical indices.</p> Conclusion <p>Both cardiometry and IVC-ultrasound can be applied equally to guide fluid therapy in sepsis. However, cardiometry use was associated with higher vasopressors utilization and less fluid infusion over 24 h of observation.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Comparing the non-invasive cardiometry with ultrasound-guided inferior vena cava collapsibility for evaluation of fluid responsiveness in septic patient: a randomized clinical trial

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月5日

查看全文
  • Samar Rafik Amin,
  • Ebtehal Mohamed Shaheen,
  • Ahmed Mostafa Abdelhamid,
  • Fatma Ahmed Abdelfatah

摘要

Background

Improving tissue perfusion is fundamental for management of septic patients. Various invasive and non-invasive hemodynamic monitoring tools are used to guide fluid therapy properly and identify the early need for vasopressors or inotropes. This study intended to compare Electrical cardiometry (EC) versus Ultrasound-guided IVC collapsibility index (IVC-CI) for non-invasive bedside assessment of fluid responsiveness in patients with sepsis.

Methods

Sixty patients, aged 18–70 years, admitted to intensive care unit (ICU) with sepsis (SOFA score ≥ 2) were randomly allocated in two groups; group A in which EC monitor was used to assess fluid response (SVV > 15% as responder) and group B in which IVC ultrasonography was applied to assess fluid response (IVC-CI > 50% as responder). The 30-day mortality rate was recorded as primary outcome. Meanwhile, total amount of fluids, dose and duration of vasopressors, incidence of mechanical ventilation, ICU and hospital stay periods were recorded as secondary outcomes.

Results

No significant differences were noted regarding mortality incidence, ICU stay, and hospital stay periods. EC group demonstrated higher norepinephrine utilization (21.92 ± 16.37 vs 9.93 ± 9.57; p = 0.001), longer time to wean the vasopressors, and lower fluid consumption (3431.67 ± 1034.78 vs 4216.67 ± 1199.38; p = 0.009) than IVC group over 24 h. Fluid responders in each group showed higher values of SVV and IVC-CI than non-responders with comparable values regarding the conventional hemodynamic and clinical indices.

Conclusion

Both cardiometry and IVC-ultrasound can be applied equally to guide fluid therapy in sepsis. However, cardiometry use was associated with higher vasopressors utilization and less fluid infusion over 24 h of observation.