Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients

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Zeraatchi Alireza; Naghibi Taraneh; Kafili Hamid; Abdollahi Sabet Somayeh

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Journal Paper

Paper Information

Journal: Archives of Anesthesiology and Critical Care Year:2021 | Volume:7 | Issue:4 Page(s): 223-226

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Title

Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients

Author(s)

Zeraatchi Alireza | Naghibi Taraneh | Kafili Hamid | Abdollahi Sabet Somayeh | Issue Writer Certificate

Keywords

Internal jugular vein collapsibility index

Positive end-expiratory pressure

Intensive Care Units (ICU) patients

Hemodynamic monitoring

Abstract

Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by the means of Point-of care ultrasound provides an important, easily available and precise index for monitoring hemodynamic status,a new method which is called Internal jugular vein collapsibility index (IJV-CI). Any events that alters intrathoracic volumes and pressures may affect this index. In this study we investigate the effects of various levels of Positive end-expiratory pressure on this index. Methods: Thirty mechanically ventilated patients were studied. We used three different PEEP levels (0, 5 and 10 cmH2o) and point-of-care ultrasound evaluation of IJV (Internal Jugular Vein) diameter to determine the IJV-CI. The analysis were performed using SPSS V. 25. 0. Results: Patients were included men (76. 6%) and women (33. 3%). The mean age of patients was 39. 65±, 3. 4 for men and 42. 71±,9. 34 for women. The IJV-CI were 20. 71±, 11. 77 and 24. 25±, 11. 46 in PEEP=0 and PEEP=10 cmH20 groups respectively. In 5cmH20-PEEP group median and interquartile range were 16. 45(14. 8). The IJV-CI in three different PEEP levels were not statistically significantly different. Conclusion: According to the finding of this study, we found no evidence of an optimal PEEP level to measure The IJV-CI.

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APA: Copy

Zeraatchi, Alireza, Naghibi, Taraneh, Kafili, Hamid, & Abdollahi Sabet, Somayeh. (2021). Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients. ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE, 7(4), 223-226. SID. https://sid.ir/paper/1010401/en

Vancouver: Copy

Zeraatchi Alireza, Naghibi Taraneh, Kafili Hamid, Abdollahi Sabet Somayeh. Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients. ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE[Internet]. 2021;7(4):223-226. Available from: https://sid.ir/paper/1010401/en

IEEE: Copy

Alireza Zeraatchi, Taraneh Naghibi, Hamid Kafili, and Somayeh Abdollahi Sabet, “Is There an Optimal Positive End-Expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients,” ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE, vol. 7, no. 4, pp. 223–226, 2021, [Online]. Available: https://sid.ir/paper/1010401/en

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