Descifrando la vena cava inferior

Autores

DOI:

https://doi.org/10.24265/horizmed.2018.v18n1.10

Palavras-chave:

Ecografía, Vena cava inferior, Distensión, Colapso, Fisiología

Resumo

La ecografía es a día de hoy una herramienta muy importante para el médico intensivista, cuyo uso se va difundiendo cada vez más. Sin embargo, no basta con adquirir las habilidades técnicas para su realización, sino que también, y quizá más importante, hay que saber interpretar los hallazgos que encontremos, para lo cual un adecuado conocimiento de la fisiología o fisiopatología subyacente es fundamental. Tal es el caso de la comprensión de los mecanismos o fuerzas involucradas en la distensión y colapso de la vena cava inferior con el fin de darle una adecuada aplicación clínica a las imágenes que obtenemos cuando analizamos esta variable.

Downloads

Não há dados estatísticos.

Referências

Bodson L, Vieillard-Baron A. Respiratory variation in inferior vena cava diameter: surrogate of central venous pressure or parameter of fluid responsiveness? Let the physiology reply. Crit care. 2012;16(6):181. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3672574/

Barbier C, Loubières Y, Jardin F, Vieillard-Baron A. Author’s reply to the comment by Dr. Bendjelid. Intensive Care Medicine. 2004;30(9):1848-1848. Disponible en: https://link.springer.com/article/10.1007%2Fs00134-004-2327-0?LI=true

Kenny JE. Inspiratory collapse of the inferior vena cava: What is it telling us? Critical Care, Infectious Disease and Sepsis, Radiology & Imaging Add a Comment. image. 2014. Disponible en: https://pulmccm.org/critical-care-review/inspiratory-collapse-inferior-vena-cava-telling-us/

Kenny JE. That Fallible IVC. Cardiovascular Disease, Critical Care, Radiology & Imaging, Clinical Resources. Disponible en: http://pulmccm.org/main/2016/cardiovascular-disease-review/that-fallible-ivc/

Magder S. Bench-to-bedside review: an approach to hemodynamic monitoring-Guyton at the bedside. Crit Care. 2012;16(5):236. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682240/

Muller L, Bobbia X, Toumi M, Louart G, Molinari N, Ragonnet B, et al. Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use. Crit Care. 2012;16(5):R188. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682290/

Corl K, Napoli AM, Gardiner F. Bedside sonographic measurement of the inferior vena cava caval index is a poor predictor of fluid responsiveness in emergency department patients. Emerg Med Australas. 2012;24(5):534-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23039295

Magder S, Bafaqeeh F. The clinical role of central venous pressure measurements. J Intensive Care Med. 2007;22(1):44-51. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17259568

Fessler HE, Brower R, Wise RA, Permutt S. Effects of Positive End-expiratory Pressure on the Gradient for Venous Return. Am Rev Respir Dis. 1991;143(1):19-24. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/1986678

Lloyd TC. Effect of inspiration on inferior vena caval blood flow in dogs. J Appl Physiol Respir Environ Exerc Physiol. 1983;55(6):1701-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/6662760

Rubinson RM, Vasko JS, Doppman JL, Morrow AG. Inferior vena caval obstruction from increased intra-abdominal pressure: experimental hemodynamic and angiographic observations. Arch Surg. 1967;94(6):766-70. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/6026704

Kimura BJ, Dalugdugan R, Gilcrease III GW, Phan JN, Showalter BK, Wolfson T. The effect of breathing manner on inferior vena caval diameter. Eur J Echocardiogr. 2010;12(2):120-3. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20980326

Michard F, Teboul J-L. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest. 2002;121(6):2000-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12065368

Jardin F, Vieillard-Baron A. Ultrasonographic examination of the venae cavae. Intensive Care Med. 2006; 32(2):203-206. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16450103

Brennan JM, Blair JE, Goonewardena S, Ronan A, Shah D, Vasaiwala S, et al. Reappraisal of the use of inferior vena cava for estimating right atrial pressure. J Am Soc Echocardiogr. 2007;20(7):857-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17617312

Jue J, Chung W, Schiller NB. Does inferior vena cava size predict right atrial pressures in patients receiving mechanical ventilation?. J Am Soc Echocardiogr. 1992;5(6):613-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/1466886

Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 2004;30(9):1834-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15045170

Slama M, Maizel J. Chapter 6 - Assessment of Fluid Requirements: Fluid Responsiveness. In: Backer D, Cholley BP, Slama M, Vieillard-Baron A, Vignon P, ed. Hemodynamic Monitoring Using Echocardiography in the Critically Ill. Berlin, Heidelberg: Springer Berlin Heidenlberg; 2011. pp.61-69.

Barbier C, Loubières Y, Schmit C, Hayon J, Ricôme JL, Jardin F, et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med. 2004;30(9):1740-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15034650

Vallée F, Richard JCM, Mari A, Gallas T, Arsac E, Verlaan PS, et al. Pulse pressure variations adjusted by alveolar driving pressure to assess fluid responsiveness. Intensive Care Med. 2009;35(6):1004-10. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15034650

Airapetian N, Maizel J, Alyamani O, Mahjoub Y, Lorne E, Levrard M, et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients?. Critical Care. 2015;19(1):400. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4643539/

Downloads

Publicado

2018-03-31

Como Citar

1.
Pérez Cateriano V, Pasco Ulloa JC. Descifrando la vena cava inferior. Horiz Med [Internet]. 31º de março de 2018 [citado 20º de junho de 2025];18(1):68-74. Disponível em: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/709

Edição

v. 18 n. 1 (2018): Enero - Marzo

Seção

Artigo de revisão

Licença

Copyright (c) 2018 Horizonte Médico (Lima)

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Os resultados de pesquisa da revista Horizonte Médico (Lima) (Horiz. Med.) são publicados sem custo e estão disponíveis gratuitamente para download sob o modelo de acesso aberto, com o objetivo de disseminar trabalhos e experiências desenvolvidos nas áreas biomédica e de saúde pública, tanto nacional quanto internacionalmente, e promover a pesquisa nos diferentes campos da medicina humana. Todos os manuscritos aceitos e publicados na revista são distribuídos gratuitamente sob os termos de uma licença Creative Commons - Atribuição 4.0 Internacional (CC BY 4.0).