The diameter of the inferior vena cava provides a noninvasive way of calculating central venous pressure in neonates

Yoshiaki Sato, Motoyoshi Kawataki, Akihiro Hirakawa, Katsuaki Toyoshima, Taichi Kato, Yasufumi Itani, Masahiro Hayakawa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aim To explore a less invasive way of assessing preload in neonates than fitting catheters to measure central venous pressure (CVP). This study evaluated the relationship between inferior vena cava (IVC) measurements and gestational age (GA) or body weight (BW) in term and premature infants and the correlation between those measurements and CVP in sick infants under mechanical ventilation. Methods We studied 57 clinically stable infants, together with14 sick infants fitted with central venous catheters to measure CVP. Subcostal transverse views were recorded at the level of the left branch of portal vein, and the minimum (DS) and maximum (DL) diameters of the IVC were measured. We evaluated the values of DS and DL and the S/L ratio (DS divided by DL) in the clinically stable infants and the correlation between S/L and CVP in the sick infants with central catheters. Results DS and DL correlated positively and strongly with both GA and BW, whereas S/L was almost independent of both GA and BW and correlated strongly with CVP. Conclusion At the subcostal transverse views, S/L is much less affected by either GA or BW than DS or DL and correlates strongly with CVP in mechanically ventilated infants.

Original languageEnglish
Pages (from-to)e241-e246
JournalActa Paediatrica, International Journal of Paediatrics
Volume102
Issue number6
DOIs
Publication statusPublished - 2013 Jun 1

Keywords

  • Cardiac function
  • Central venous pressure
  • Inferior vena cava
  • Neonate
  • Preload

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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