1887
Volume 2016, Issue 3
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

To correlate collapsibility of the inferior vena cava (IVC) with packed cell volume (PCV) and clinical condition and to ascertain IVC collapsibility as a guide to estimate intravascular volume using bedside ultrasonography (USG) in children with dengue fever. A prospective observational study was conducted in the Pediatric Emergency Department of an academic hospital in India. Clinical data and PCV of children with dengue fever aged between 1 month to 18 years were documented. The collapsibility of IVC was determined using bedside ultrasonogram. IVC collapsibility correlates with high PCV and dengue shock in children ( = 0.000). IVC was not collapsible in children with normal PCV ( = 0.000). The collapsibility of IVC correlated with the need for normal saline bolus ( = 0.000), colloids ( = 0.002), PICU admission ( = 0.015) and mortality ( = < 0.05). The assessment of intravascular volume status by determining IVC collapsibility using bedside USG is a helpful non-invasive tool in children with dengue fever.

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2016-11-11
2024-04-20
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References

  1. World Health Organization. Global strategy for dengue prevention and control 2012–2020, August 2012:43. http://www.who.int/denguecontrol/9789241504034/en/.
  2. Biswas A, Pangtey G, Devgan V, Singla P, Murthy P, Dhariwal AC, Senkalpana Baruah PK. Indian National Guidelines for Clinical Management of Dengue Fever. J Ind Med Assoc. 2015; 113:12:196206.
    [Google Scholar]
  3. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control by the World Health Organization (WHO). http://whqlibdoc.who.int/publications/2009/9789241547871_eng.pdf .
  4. ACEP emergency ultrasound guidelines, Ann Emerg Med. 2009; 53::550570.
    [Google Scholar]
  5. Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: A meta-analysis. Am J Emerg Med. 2012; 30:8:14141419.
    [Google Scholar]
  6. Pongpan S, Wisitwong A, Tawichasri C, Patumanond J, Namwongprom S. Development of dengue infection severity score. ISRN Pediatr. 2013; 6:, Article ID 845876, doi:10.1155/2013/84587.
    [Google Scholar]
  7. Yacoub S, Will B. Predicting outcome from dengue. BMC Med. 2014; 12::147.
    [Google Scholar]
  8. Venkata Sai PM, Dev B, Krishnan R. Role of ultrasound in dengue fever. Br J Radiol. 2005; 78:929:416418.
    [Google Scholar]
  9. Santhosh VR, Patil PG, Srinath MG, Kumar A, Jain A, Archana M. Sonography in the diagnosis and assessment of dengue fever. J Clin Imaging Sci. 2014; 4::14.
    [Google Scholar]
  10. Fields JM, Lee PA, Jenq KY, Mark DG, Panebianco NL, Dean AJ. The interrater reliability of inferior vena cava ultrasound by bedside clinician sonographers in emergency department patients. Acad Emerg Med. 2011; 18:1:98101.
    [Google Scholar]
  11. Duwat A, Zogheib E, Grégoire Guinot P, Levy F, Trojette F, Diouf M, Slama M, Dupont H. The gray zone of the qualitative assessment of respiratory changes in inferior vena cava diameter in ICU patients. Crit Care. 2014; 18:1:R14.
    [Google Scholar]
  12. Longjohn M. Point-of-care echocardiography by pediatric emergency physicians. Pediatr Emerg Care. 2011; 27:8:693696.
    [Google Scholar]
  13. Nagdev AD, Merchant RC, Tirado-Gonzalez A, Sisson CA, Murphy MC. Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med. 2010; 55::290295.
    [Google Scholar]
  14. Thanakitcharu P. Inferior vena cava diameter and collapsibility index: A practical non-invasive evaluation of intravascular fluid volume in critically-ill patients. J Med Assoc Thai. 2013; 96:Suppl 3:S14S22.
    [Google Scholar]
  15. Kircher BJ, Himelman RB, Schiller NB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990; 66::493496.
    [Google Scholar]
  16. Kosiak W, Swieton D, Piskunowicz M. Sonographic inferior vena cava/aorta diameter index, a new approach to the body fluid status assessment in children and young adults in emergency ultrasound preliminary study. Acad J Emerg Med. 2008; 26::320325.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): EmergencyIVC collapsibilityshock and ultrasound
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