A new parameter for the diagnosis of hemorrhagic shock: Jugular index
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
W B SAUNDERS CO-ELSEVIER INC
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: The purpose of this study is to investigate whether there are any significant changes in the diameter and the area of the internal jugular vein (IJV) during the hemorrhagic shock. Materials and Methods: Healthy volunteers donating blood were included in the study. Arterial blood pressure, pulse rate, anteroposterior (AP) and transverse diameter, and area measurements of the IJV during inspiration and expiration were performed on the volunteers before and after 450 mL of blood donation. Results: A total of 35 volunteers were enrolled in the study. The IJV prehemorrhagic AP diameters during inspiration and expiration were 4.9 +/- 2.2 and 7.9 +/- 3.1 mm, and the posthemorrhagic values were 2.7 +/- 1.6 and 6.6 +/- 3.1 mm (respectively, P < .001 and P = .007). The jugular index-AP was 36% +/- 15% before hemorrhage and 58% +/- 17% after hemorrhage (P < .001). The IJV areas during inspiration and expiration were 0.40 +/- 0.28 and 0.81 +/- 0.51 cm(2) before hemorrhage and were 0.14 +/- 0.15 and 0.61 +/- 0.47 cm(2) after hemorrhage (for both, P < .001). The jugular index-area was found as 47% +/- 18% before hemorrhage and as 73% +/- 18% after hemorrhage (P < .001). Conclusions: We believe that measurement of the IJV and the jugular index is a reliable indicator of class 1 hemorrhagic shock. Itmay be used as a part of focused abdominal sonography for trauma in clinical practice. (C) 2012 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Shock, Jugular vein diameter, Jugular index
Kaynak
JOURNAL OF CRITICAL CARE
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
27
Sayı
5
