Sonographic evaluation of internal jugular vein diameter and cross-sectional area measurements as a tool for perioperative assessment of volume status and fluid therapy in pediatric patients undergoing cardiac surgery /

Ahmed Abdelaziz Mohamed

Sonographic evaluation of internal jugular vein diameter and cross-sectional area measurements as a tool for perioperative assessment of volume status and fluid therapy in pediatric patients undergoing cardiac surgery / تقييم الموجات الصوتية لقياسات القطر و المساحة العرضية من الوريد الوداجى الداخلي اثناء الجراحة كوسيلة لتحديد حالة السوائل داخل جسم الأطفال الخاضعين لعمليات القلب Ahmed Abdelaziz Mohamed ; Supervised Wafaa Mohamed Elsadek , Amal Hanfy AboElaela , Heba Mohamed Nassar - Cairo : Ahmed Abdelaziz Mohamed , 2015 - 88 Leaves : facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

The aim of this study was to compare the ultrasound estimation of the cross sectional area and diameter of internal jugular vein (IJV) with direct estimation of central venous pressure (CVP) and left ventricular end diastolic area (LVEDA) for assessment of intravascular volume in pediatric patients during cardiac surgery. A portable ultrasound machine defined the cross sectional area and diameter of the left internal jugular vein in 16 pediatric patients. CVP was measured directly. Trans-esophageal echo (TEE) was used to estimate LVEDA as another tool for intravascular volume assessment. There was poor correlation between IJV cross sectional area and diameter with CVP and LVEDA. Estimation of CVP using ultrasound of the internal jugular vein is not reliable and cannot be used alone to decide further management



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