Difference between revisions of "IVC ultrasound"

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==Background==
 
==Background==
 
*Inferior vena cava ultrasound measurements
 
*Inferior vena cava ultrasound measurements
*>50% collapse correlates with CVP <8
+
*>50% collapse correlates with CVP < 8
 
*Unclear if able to use in intubated patients
 
*Unclear if able to use in intubated patients
  

Revision as of 22:00, 21 May 2014

Background

  • Inferior vena cava ultrasound measurements
  • >50% collapse correlates with CVP < 8
  • Unclear if able to use in intubated patients

Technique

  • Use phased array probe
  • In subxyphoid cardiac view (epigastric), fan probe inferiorly to view the IVC draining into the right ventricle
  • In the RUQ, slide the probe posteriorly to view the IVC draining into the RV

Measurements

IVC  % Collapse during inspiration^ CVP
<1.5cm >50% 0-5
1.5-2.5cm >50% 5-10
1.5-2.5cm <50% 10-15
>2.5cm Little phasicity 15-20

^Measure ~2cm from IVC/RA junction

  • Can ask patient to sniff or valsalva to evaluate collapse

See Also