A new parameter for the diagnosis of hemorrhagic shock: Jugular index

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dc.contributor.authorAkıllı, Nazire Belgin
dc.contributor.authorCander, Başar
dc.contributor.authorDündar, Zerrin Defne
dc.contributor.authorKoylu, Ramazan
dc.date.accessioned2020-03-26T18:23:33Z
dc.date.available2020-03-26T18:23:33Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: 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.en_US
dc.identifier.doi10.1016/j.jcrc.2012.01.011en_US
dc.identifier.issn0883-9441en_US
dc.identifier.issn1557-8615en_US
dc.identifier.issue5en_US
dc.identifier.pmid22386226en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jcrc.2012.01.011
dc.identifier.urihttps://hdl.handle.net/20.500.12395/27679
dc.identifier.volume27en_US
dc.identifier.wosWOS:000310204300039en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B SAUNDERS CO-ELSEVIER INCen_US
dc.relation.ispartofJOURNAL OF CRITICAL CAREen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectShocken_US
dc.subjectJugular vein diameteren_US
dc.subjectJugular indexen_US
dc.titleA new parameter for the diagnosis of hemorrhagic shock: Jugular indexen_US
dc.typeArticleen_US

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