Araştırma Makalesi
Yıl 2025,
Cilt: 52 Sayı: 2, 391 - 398, 20.06.2025
Öz
Kaynakça
- 1.Barash PG, Cullen BF, Stoelting RK, Klinik AnesteziTemelleri, 3.Türkçe Baskı Ankara: Güneş TıpKitabevleri, 2017.
- 2.Yi S, Cao H, Zheng W, et al. Targeting the opioidremifentanil: Protective effects and molecularmechanisms against organ ischemia-reperfusioninjury. Biomed Pharmacother. 2023Nov;167:115472.
- 3.Bocskai T, Karádi K, Burián A, et al. A narkózishatása a kognitív funkciókra [The effect ofanesthesia on cognitive functions]. Ideggyogy Sz.2016 Jul 30;69(7-8):255-60.
- 4.Meng L. Heterogeneous impact of hypotension onorgan perfusion and outcomes: a narrative review.Br J Anaesth. 2021 Dec;127(6):845-61.
- 5.Myrberg T, Lindelöf L, Hultin M. Effect ofpreoperative fluid therapy on hemodynamicstability during anesthesia induction, a randomizedstudy. Acta anaesthesiologica Scandinavica.2019;63(9):1129-36.
- 6.Futier E, Lefrant JY, Guinot PG, et al. Effect ofIndividualized vs Standard Blood PressureManagement Strategies on Postoperative OrganDysfunction Among High-Risk Patients UndergoingMajor Surgery: A Randomized Clinical Trial. Jama.2017;318(14):1346-57.
- 7.Karacabey S, Sanri E, Güneysel Ö. : A Non-invasiveMethod for Assessment of Intravascular FluidStatus: Inferior Vena Cava Diameters andCollapsibility Index. Pakistan Journal of MedicalSciences, July-August 2016; 32: 836-40.
- 8.Zhao J, Wang G. : Inferior Vena Cava CollapsibilityIndex Is a Valuable and Non-Invasive Index forElevated General Heart End-Diastolic Volume IndexEstimation in Septic Shock Patients. Medical ScienceMonitor, 2016 Oct 20; 22:3843-8.
- 9.Jin G, Liu F, Yang Y, et al. Carotid blood flowchanges following a simulated end-inspiratoryocclusion maneuver measured by ultrasound canpredict hypotension after the induction of generalanesthesia: an observational study. BMCAnesthesiol. 2024;24(1):13.
- 10.Choi MH, Chae JS, Lee HJ, Woo JH. Pre-anaesthesia ultrasonography of thesubclavian/infraclavicular axillary vein forpredicting hypotension after inducing generalanaesthesia: A prospective observational study. EurJ Anaesthesiol. 2020;37(6):474-81.
- 11.Lal J, Jain M, Rahul, et al. Efficacy of inferior venacava collapsibility index and caval aorta index inpredicting the incidence of hypotension after spinalanaesthesia- A prospective, blinded, observationalstudy. Indian J Anaesth. 2023;67(6):523-9.
- 12.Mohammed S, Syal R, Bhatia P, et al. Prediction ofpost-induction hypotension in young adults usingultrasound-derived inferior vena cava parameters:An observational study. Indian J Anaesth.2021;65(10):731-7.
- 13.Mačiulienė A, Gelmanas A, Jaremko I, et al.Measurements of Inferior Vena Cava Diameter forPrediction of Hypotension and Bradycardia duringSpinal Anesthesia in Spontaneously BreathingPatients during Elective Knee Joint ReplacementSurgery. Medicina (Kaunas). 2018;54(3):49.
- 14.Maitra S, Baidya DK, Anand RK, Subramanium R,Bhattacharjee S. Carotid Artery Corrected FlowTime and Respiratory Variations of Peak Blood FlowVelocity for Prediction of Hypotension AfterInduction of General Anesthesia in Adult PatientsUndergoing Elective Surgery: A ProspectiveObservational Study. J Ultrasound Med. 2020;39(4):721-30.
- 15.Sethi D, Jadhav VL, Garg G. Role of Inferior VenaCava Collapsibility Index in the Prediction ofHypotension Associated With Central NeuraxialBlock: A Prospective Observational Study. JUltrasound Med. 2023;42(9):1977-85.
- 16.Liu C, An R, Liu H. Preoperative Ultrasound forthe Prediction of Postinduction Hypotension: ASystematic Review and Meta-Analysis. J Pers Med.2024;14(5):452.
- 17.Zhang J, Critchley LA. Inferior Vena CavaUltrasonography before General Anesthesia CanPredict Hypotension after Induction.Anesthesiology. 2016;124(3):580-9.
- 18.Agarwal J, Panjiar P, Khanuja S, et al. Correlationof preoperative inferior vena cava diameter andinferior vena cava collapsibility index withpreoperative fasting status, patient demography andgeneral anaesthesia associated hypotension: Aprospective, observational study. Indian J Anaesth.2022;66(Suppl 6):S320-7.
- 19.Topal S, Karasu D, Yılmaz C, et al. Therelationship between collapsibility index of inferiorvena cava and hypotension after spinal anesthesia.Eur Res J. May 2021;7(3):319-25
- 20. Ni TT, Zhou ZF, He B, Zhou QH. Inferior Vena CavaCollapsibility Index Can Predict Hypotension andGuide Fluid Management After Spinal Anesthesia.Front Surg. 2022;9:831539. Published 2022 Feb 17
- 21.Lal J, Jain M, Rahul, et al. Efficacy of inferior venacava collapsibility index and caval aorta index inpredicting the incidence of hypotension after spinalanaesthesia- A prospective, blinded, observationalstudy. Indian J Anaesth. 2023;67(6):523-9.
Genel Anestezi İndüksiyonu Sonrası Gelişen Hipotansiyonu Öngörmede İnferior Vena Cava Kollapsibilite İndeksinin Ölçümünün Rolü
Öz
Amaç: Çalışmamızın amacı, anestezi indüksiyonu sonrası hipotansiyonun öngörülmesi için İnferior Vena Kava Kollapsibilite İndeksi (IVC-CI) sensitivite ve spesifitesini değerlendirmektir.
Yöntemler: Hastanemizde elektif cerrahi prosedür uygulanan hastalara işlem öncesi IVC-CI hesaplandı. Hastalar buna göre iki gruba ayrıldı. Hastalar intra operatif ve post operatif dönemde hemodinamik olarak takip edildi. Belirlenmiş kriterlere göre hipotansiyon gelişme durumu değerlendirildi.
Bulgular: Çalışmamıza 49 hasta alındı. Hastaların ortalama; yaşı 40,32 ± 11,06, Vücut Kitle İndeksi (VKİ) 26,53 ± 3,97 kg/m2 idi. Hastalarımızın %65,3 (n=32)’ü kadın %34,7 (n=17)’si erkek cinsiyetteydi. Hastaların %32,5’i (n=16) Kollapsibilite indeksi + (CI+) grupta, 67,5’i (n=33) CI- grupta saptandı. CI – gruptaki hastaların %24,2’si (n=8) hastada işlem sırasında takipte hipotansiyon gelişti. CI + gruptaki hastaların ise %56,3’ünde hipotansiyon saptandı (p=0,027).
Sonuç: IVC-CI’nin net olarak belirlenmiş bir cut-off değeri bulunmamaktadır. Ancak yapılmış çalışmalar ışığında bu değerin %40-50 arasında olması muhtemeldir. Hastaya ait diğer demografik özellikler ve diğer parametreler de hesaba katılarak; her cerrahi işlem öncesi IVC-CI hesaplanması ve işlem sırasında ve sonrasında alınacak tedbirlerin buna göre alınmasını öneriyoruz.
Anahtar Kelimeler
Kaynakça
- 1.Barash PG, Cullen BF, Stoelting RK, Klinik AnesteziTemelleri, 3.Türkçe Baskı Ankara: Güneş TıpKitabevleri, 2017.
- 2.Yi S, Cao H, Zheng W, et al. Targeting the opioidremifentanil: Protective effects and molecularmechanisms against organ ischemia-reperfusioninjury. Biomed Pharmacother. 2023Nov;167:115472.
- 3.Bocskai T, Karádi K, Burián A, et al. A narkózishatása a kognitív funkciókra [The effect ofanesthesia on cognitive functions]. Ideggyogy Sz.2016 Jul 30;69(7-8):255-60.
- 4.Meng L. Heterogeneous impact of hypotension onorgan perfusion and outcomes: a narrative review.Br J Anaesth. 2021 Dec;127(6):845-61.
- 5.Myrberg T, Lindelöf L, Hultin M. Effect ofpreoperative fluid therapy on hemodynamicstability during anesthesia induction, a randomizedstudy. Acta anaesthesiologica Scandinavica.2019;63(9):1129-36.
- 6.Futier E, Lefrant JY, Guinot PG, et al. Effect ofIndividualized vs Standard Blood PressureManagement Strategies on Postoperative OrganDysfunction Among High-Risk Patients UndergoingMajor Surgery: A Randomized Clinical Trial. Jama.2017;318(14):1346-57.
- 7.Karacabey S, Sanri E, Güneysel Ö. : A Non-invasiveMethod for Assessment of Intravascular FluidStatus: Inferior Vena Cava Diameters andCollapsibility Index. Pakistan Journal of MedicalSciences, July-August 2016; 32: 836-40.
- 8.Zhao J, Wang G. : Inferior Vena Cava CollapsibilityIndex Is a Valuable and Non-Invasive Index forElevated General Heart End-Diastolic Volume IndexEstimation in Septic Shock Patients. Medical ScienceMonitor, 2016 Oct 20; 22:3843-8.
- 9.Jin G, Liu F, Yang Y, et al. Carotid blood flowchanges following a simulated end-inspiratoryocclusion maneuver measured by ultrasound canpredict hypotension after the induction of generalanesthesia: an observational study. BMCAnesthesiol. 2024;24(1):13.
- 10.Choi MH, Chae JS, Lee HJ, Woo JH. Pre-anaesthesia ultrasonography of thesubclavian/infraclavicular axillary vein forpredicting hypotension after inducing generalanaesthesia: A prospective observational study. EurJ Anaesthesiol. 2020;37(6):474-81.
- 11.Lal J, Jain M, Rahul, et al. Efficacy of inferior venacava collapsibility index and caval aorta index inpredicting the incidence of hypotension after spinalanaesthesia- A prospective, blinded, observationalstudy. Indian J Anaesth. 2023;67(6):523-9.
- 12.Mohammed S, Syal R, Bhatia P, et al. Prediction ofpost-induction hypotension in young adults usingultrasound-derived inferior vena cava parameters:An observational study. Indian J Anaesth.2021;65(10):731-7.
- 13.Mačiulienė A, Gelmanas A, Jaremko I, et al.Measurements of Inferior Vena Cava Diameter forPrediction of Hypotension and Bradycardia duringSpinal Anesthesia in Spontaneously BreathingPatients during Elective Knee Joint ReplacementSurgery. Medicina (Kaunas). 2018;54(3):49.
- 14.Maitra S, Baidya DK, Anand RK, Subramanium R,Bhattacharjee S. Carotid Artery Corrected FlowTime and Respiratory Variations of Peak Blood FlowVelocity for Prediction of Hypotension AfterInduction of General Anesthesia in Adult PatientsUndergoing Elective Surgery: A ProspectiveObservational Study. J Ultrasound Med. 2020;39(4):721-30.
- 15.Sethi D, Jadhav VL, Garg G. Role of Inferior VenaCava Collapsibility Index in the Prediction ofHypotension Associated With Central NeuraxialBlock: A Prospective Observational Study. JUltrasound Med. 2023;42(9):1977-85.
- 16.Liu C, An R, Liu H. Preoperative Ultrasound forthe Prediction of Postinduction Hypotension: ASystematic Review and Meta-Analysis. J Pers Med.2024;14(5):452.
- 17.Zhang J, Critchley LA. Inferior Vena CavaUltrasonography before General Anesthesia CanPredict Hypotension after Induction.Anesthesiology. 2016;124(3):580-9.
- 18.Agarwal J, Panjiar P, Khanuja S, et al. Correlationof preoperative inferior vena cava diameter andinferior vena cava collapsibility index withpreoperative fasting status, patient demography andgeneral anaesthesia associated hypotension: Aprospective, observational study. Indian J Anaesth.2022;66(Suppl 6):S320-7.
- 19.Topal S, Karasu D, Yılmaz C, et al. Therelationship between collapsibility index of inferiorvena cava and hypotension after spinal anesthesia.Eur Res J. May 2021;7(3):319-25
- 20. Ni TT, Zhou ZF, He B, Zhou QH. Inferior Vena CavaCollapsibility Index Can Predict Hypotension andGuide Fluid Management After Spinal Anesthesia.Front Surg. 2022;9:831539. Published 2022 Feb 17
- 21.Lal J, Jain M, Rahul, et al. Efficacy of inferior venacava collapsibility index and caval aorta index inpredicting the incidence of hypotension after spinalanaesthesia- A prospective, blinded, observationalstudy. Indian J Anaesth. 2023;67(6):523-9.
Toplam 21 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Tıp Eğitimi, Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Haziran 2025 |
| Gönderilme Tarihi | 10 Ocak 2025 |
| Kabul Tarihi | 13 Haziran 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 52 Sayı: 2 |
