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A Pilot Study Examining the Use of Ultrasound to Measure Intravascular Volume Status in Agricultural Workers in a
Jonathan J Suarez1, Lisa Elon, Adriana Rangel-Rodriguez
1From the Division of Renal Medicine, Department of Medicine, Emory University, Atlanta, Georgia (J.J.S., J.M.S.); Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia (L.E.); Rollins School of Public Health, Emory University, Atlanta, Georgia (A.R.R.); Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (N.X.); and Farmworker Association of Florida, Apopka, Florida (N.X., M.C.H., V.H., L.M.C., R.C.C.).
Objective:
The aim of this pilot study was to explore if internal jugular vein (IJV) ultrasound studies on agricultural workers in a field-based research setting could assess volume status during a hydration intervention.
Methods:
We performed pre- and post-work shift IJV ultrasound images on 30 agricultural workers. The IJV collapsibility index values were <39% (euvolemic) or ≥39% (hypovolemic).
Results:
Of the water group, 13% (2/15) had an IJV collapsibility index ≥39%, and this increased to 19% (3/16) by the end of the work shifts. The electrolyte group did not have any workers start the work shift with an IJV collapsibility index ≥39%; however, at the postshift assessment, 15% (2/13) were hypovolemic.
Conclusion:
Internal jugular vein ultrasounds may have the potential to be a useful tool to determine volume status in field-based research settings. Further investigation is needed to confirm these findings.
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