ORIGINAL RESEARCH ARTICLE

Central Venous Pressure Correlates with Inferior Vena Cava Collapsibility Index in Patient Treated in Intensive Care Unit

Made Wiryana , I Ketut Sinardja, I Wayan Aryabiantara, Tjokorda GdeAgung Senapathi, I Made Gede Widnyana, I Gusti Ngurah Mahaalit Aribawa, I Gusti Agung Gede Utara Hartawan, Pontisomaya Parami, Emkel Perangin Angin

Made Wiryana
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia. Email: emkelpr@yahoo.com

I Ketut Sinardja
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Wayan Aryabiantara
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Tjokorda GdeAgung Senapathi
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Made Gede Widnyana
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Gusti Ngurah Mahaalit Aribawa
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Gusti Agung Gede Utara Hartawan
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Pontisomaya Parami
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Emkel Perangin Angin
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Online First: February 20, 2017 | Cite this Article
Wiryana, M., Sinardja, I., Aryabiantara, I., GdeAgung Senapathi, T., Gede Widnyana, I., Mahaalit Aribawa, I., Gede Utara Hartawan, I., Parami, P., Perangin Angin, E. 2017. Central Venous Pressure Correlates with Inferior Vena Cava Collapsibility Index in Patient Treated in Intensive Care Unit. Bali Journal of Anesthesiology 1(1): 7-9. DOI:10.15562/bjoa.v1i1.2


Background: Intravascular volume status is an important parameter in monitoring the patients treated at intensive care unit (ICU), so accuracy and strict monitoring of fluid volume is one factor that influence patient’s health status. Amongst others, two ways to monitor body fluid volume status is central venous pressure (CVP) and collapsibility index of inferior vena cava (IVC) diameter. The purpose of this study is to determine the correlation between CVP with the IVC collapsibility index in patients treated in ICU Sanglah Hospital in Denpasar. Method: Seventy patients treated at Sanglah Hospital ICU with already inserted CVC for appropriate indication, were measured for CVP, then followed by examination the diameter of IVC with ultrasound to measure the maximum and minimum collapsibility index. Spearman’s correlation coefficients was used to assess the correlation between CVP and collapsibility index of the IVC. Results: In 70 patients, we found a very strong negative correlation between CVP and IVC’s collapsibility index (Spearman's rho = -0.854; p <0.001). Conclusion: This study found that there is a very strong negative correlation between CVP and collapsibility index of IVC. This finding indicates that the collapsibility index of the IVC may substitute CVP in determining the status of the intravascular volume.

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