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通过中央静脉超声测量评估液体反应:一个网络元分析

Levan B Berikashvili¹, Ivan V Kuznetsov¹, Mikhail Ya Yadgarov¹

¹Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow 107031, Russia.

Journal of clinical medicine

|January 25, 2025

概括

与其他静脉超声检测相比,ΔCaval指数在评估液体反应方面表现出卓越的诊断准确性. 静脉指数通常表现优于绝对测量,在呼吸类型中表现一致.

科学领域:

关键护理医学关键护理医学
诊断成像诊断成像诊断成像
心血管生理学心血管生理学

背景情况:

静脉直径和指数的超声波评估是评估流体响应性的关键工具.
目前的临床实践缺乏关于评估流体响应性的最佳静脉参数的共识.
在不同静脉测量之间存在诊断准确度的变化.

研究的目的:

系统地比较各种静脉直径的诊断准确度及其指数,以评估流体反应.
为了确定指导流体治疗的最准确的超声波参数.
在不同的呼吸条件下评估静脉参数的性能.

主要方法:

对前性研究进行系统审查和网络元分析.
包括评估下腔静脉 (IVC),内静脉 (IJV) 和其他静脉参数的研究.
使用 QUADAS-2 的偏差风险评估和使用 GRADE 的证据确定性.

主要成果:

该 ΔCaval 指数显示了显著的性能优势比其他静脉参数.
卡瓦尔指数表现优于IJVmin/max和IVCmax; IJV指数和IVCmin表现优于IJVmin/max.
洞穴指数的准确性与IJV指数相似,在机械通风和自发呼吸过程中一致.

结论:

ΔCaval指数是一种高度精确的超声波测试,用于测试液体反应.
静脉指数,特别是和关指数,比绝对静脉值更准确.
洞穴指数提供可靠的评估流体响应能力,无论呼吸支.

关键词:

诊断技术和程序的诊断技术和程序.流体疗法是一种流体疗法.血液动力学血液动力学网络元分析网络元分析超声波学超声波学超声波学静脉压力静脉压力静脉压力

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