Journal of Cardiovascular Disease Research
Ultrasound Assessment of Inferior Vena Cava Prior to Spinal Anesthesia: A Guide to IV Fluid and Durg Administration
Dr. Hareshkumar S Vagdoda , Dr. Sonal Chovatiya , Dr. Rajesh R Patel , Dr. Rajesh Gouri
JCDR. 2023: 2027-2030
Abstract
Background and Objectives: Sustained and significant hypotension resulting from spinal anesthesia increases the risk of inadequate organ perfusion, which can lead to perioperative complications and even death. Utilizing dynamic, noninvasive techniques such as assessing the Inferior Vena Cava (IVC) collapsibility index through abdominal ultrasonography provides insight into intravascular volume changes. This respiratory-induced variation in IVC diameter is recognized as a valuable indicator of volume responsiveness, applicable in cases of circulatory insufficiency, whether patients are mechanically ventilated or breathing spontaneously
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