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Inferior and Superior Venae Cavae

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Abstract

The echocardiographic evaluation of the dimensions of the inferior vena cava and its inflated variations in the intensive care setting is very important to evaluate the right atrial pressure, which reflects dehydration and overhydration. The vessel distension and the internal pressure are related to the filling status of the circulatory system and to the venous vessel tone. They also depend on abdominal and intrathoracic pressure.

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Reference

  1. Sarti A (2009) Ecocardiografia per l’intensivista. Springer, Milan

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Further Reading

  • Barbier C (2004) Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med 30:1740–1746

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  • Feissel M (2004) the respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med 30:1834–1837

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  • Jue J, Chung W, Schiller NB (1992) Does inferior vena cava size predict right atrial pressures in patients receiving mechanical ventilation? J Am Soc Echocardiogr 5:613

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  • Lang RM, Bierig M, Devereux RB et al (2008) Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standard Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Society of Cardiology. J Am Soc Echocardiogr 18:1440–1463

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  • Masugata H et al (2010) Age related decrease in inferior vena cava diameter measured with echocardiography. Tohoku J Exp Med 222:141–147

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  • Vieillard-Baron A et al (2004) Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients. Intensive Care Med 30:1734–1739

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  • Wallace DJ, Allison M, Stone MB (2010) Inferior vena cava percentage collapse during respiration is affected by the sampling location: an ultrasound study in healthy volunteers. Acad Emerg Med 17(1):96–99

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Correspondence to Massimo Milli .

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© 2013 Springer-Verlag Italia

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Milli, M. (2013). Inferior and Superior Venae Cavae. In: Sarti, A., Lorini, F. (eds) Echocardiography for Intensivists. Springer, Milano. https://doi.org/10.1007/978-88-470-2583-7_11

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  • DOI: https://doi.org/10.1007/978-88-470-2583-7_11

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2582-0

  • Online ISBN: 978-88-470-2583-7

  • eBook Packages: MedicineMedicine (R0)

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