| dc.creator |
ÖZLÜER, Yunus Emre; ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE |
|
| dc.creator |
KAPÇI, Mücahit; ADNAN MENDERES ÜNİVERSİTESİ, TIP FAKÜLTESİ |
|
| dc.date |
2021-08-22T00:00:00Z |
|
| dc.date.accessioned |
2021-12-03T11:47:00Z |
|
| dc.date.available |
2021-12-03T11:47:00Z |
|
| dc.identifier |
https://dergipark.org.tr/tr/pub/sdutfd/issue/64600/732202 |
|
| dc.identifier |
10.17343/sdutfd.732202 |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/94210 |
|
| dc.description |
AmaçSantral venöz basınç ölçümü hastaların hacim durumunutespit etmek için etkili bir yöntemdir. Bununlabirlikte, pnömotoraks gibi hayatı tehdit eden komplikasyonlarortaya çıkabilir. Ultrasonografik ölçümlerininvaziv santral venöz basıncın bir göstergesi olarakkullanılabileceğini düşünmekteyiz.Gereç ve YöntemÇalışmamız, Ocak 2015-Ocak 2016 tarihleri arasında,18 yaşın üzerinde olan ve Acil Yoğun Bakım Ünitemizdeinternal juguler vene (IJV) santral venöz kateteryerleştirilen 81 hasta üzerinde gerçekleştirildi. İnternaljuguler vendeki kanın yüksekliği, internal juguler venkollapsibilite indeksi (IJV-Kİ) ve kaval indeks (Kİ) ultrasonografiile ölçüldü. Daha sonra invaziv santral venözbasınç (SVB) ölçüldü ve hastalar düşük SVB venormal SVB grupları olarak iki gruba ayrıldı ve bu üçyöntem açısından gruplar arasında istatistiksel olarakanlamlılık arandı.BulgularYaş ortalaması 68,58 ± 13,33 idi. Hastaların 54'ü (%66,6) erkekti. Kırk altı hasta (% 56,8) mekanik ventilasyonaltındaydı. Düşük SVB grubu 62 hastadan (%76,5) oluştu. Ortalama invaziv SVB 4,83 ± 4,26 mmHgidi. IJV-Kİ ve invaziv SVB ile Kİ (r= 0,267, p=0,016 ver=0,319, p=0,04), IJV yükseklik yöntemi ve Kİ ile invazivSVB ölçümü arasında anlamlı korelasyonlar vardı(r=-0,231, p=0,03 ve r=0,357, p=0,01). Kİ ile invazivSVB ölçümü arasında herhangi bir korelasyon izlenmedi(r = -0,010, p = 0,368).SonuçNoninvaziv santral venöz basınç ölçüm yöntemleri invazivsantral venöz basınç düzeyleri için bir göstergeolarak kullanılabilir. IJV-Kİ, SVB'ı tahmin etmek içinyararlı bir araç olabilir. IJV ölçümleri, özellikle hipovolemikhastalarda vena cava inferior ölçümlerindendaha iyi sonuç vermektedir. |
|
| dc.description |
ObjectiveCentral venous pressure measurement is an effectivemethod to detect the volume status of the patients.However, life-threatening complications such aspneumothorax may occur. We assume that ultrasonographicmeasurements may be used as a surrogateof invasive central venous pressure.Materials and MethodsOur study has been conducted between January2015-January 2016 on 81 patients who were overthe age of 18 and to whom a central venous catheterhas been placed in the internal jugular vein (IJV)in our Emergency Intensive Care Unit. The height ofthe blood column in the internal jugular vein, internaljugular vein collapsibility index (IJV-CI) and the cavalindex (CI) of vena cava inferior have been measuredby ultrasound. Then, invasive central venous pressure(CVP) has been measured and the patients wereseparated into two groups as low CVP and normalCVP groups and statistically significance was soughtbetween groups in regard of these three methods.ResultsThe mean age was 68.58±13.33 years. Fifty-four ofthe patients (66.6%) were male. Forty-six patients(56.8%) were mechanically ventilated. Low CVPgroup consisted of 62 patients (76.5%). Mean invasiveCVP was 4.83±4.26 mmHg. There were significantcorrelations between IJV-CI and invasive CVP alongwith the CI (r=-0.267, p=0.016 and r=0.319, p=0.04,respectively), IJV height method and CI as well asinvasive CVP measurement (r=-0.231, p=0.03 andr=0.357, p=0.01, respectively). The CI did not yieldany correlation between invasive CVP measurement(r=-0.010, p=0.368).ConclusionNoninvasive central venous pressure measurementmethods may be used as a surrogate for invasivecentral venous pressure levels. The IJV-CI may bea useful tool to estimate CVP. Measurements of IJVyields better results than the measurements fromvena cava inferior (VCI) especially in volume depletedpatients. |
|
| dc.format |
application/pdf |
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| dc.language |
en |
|
| dc.publisher |
Süleyman Demirel Üniversitesi |
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| dc.publisher |
Süleyman Demirel University |
|
| dc.relation |
https://dergipark.org.tr/tr/download/article-file/1087465 |
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| dc.source |
Volume: 28, Issue: 2
241-246 |
en-US |
| dc.source |
1300-7416 |
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| dc.source |
2602-2109 |
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| dc.source |
SDÜ Tıp Fakültesi Dergisi |
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| dc.subject |
Santral venöz basınç,İnternal juguler ven,Kollapsibilite İndeksi,Vena cava inferior,Ultrason,Korelasyon |
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| dc.subject |
Central venous pressure,Internal jugular vein,Collapsibility index,Vena cava inferior,Ultrasound,Correlation |
|
| dc.title |
NONİNVAZİV SANTRAL VENÖZ BASINÇ ÖLÇÜMÜ YÖNTEMLERİNİN KIYASLANMASI: İNTERNAL JUGULER VEN VE VENA CAVA İNFERİOR |
tr-TR |
| dc.title |
COMPARISON OF NONINVASIVE CENTRAL VENOUS PRESSURE MEASUREMENT METHODS: INTERNAL JUGULAR VEIN VERSUS VENA CAVA INFERIOR |
en-US |
| dc.type |
info:eu-repo/semantics/article |
|
| dc.citation |
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