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The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients

Year 2021, Volume: 34 Issue: 1, 1 - 5, 29.01.2021
https://doi.org/10.5472/marumj.858649

Abstract

Objective: Fast and accurate detection of fluid balance in intensive care patients is of special significance. Many different methods are
used to determine the fluid balance. In this study, we aimed to determine the fluid balance of patients in the medical intensive care
unit using measurement of the inferior vena cava diameter and pro-brain natriuretic peptide (proBNP).
Patients and Methods: Patients admitted to the medical intensive care unit between September 2013 and February 2014 were enrolled
in the study. Inferior vena cava diameter was measured with a portable ultrasonography, according to guidelines published by the
American Echocardiography Association. For pro BNP measurement, samples were taken simultaneously with ultrasonography.
Results: One hundred and twenty-six patients (70 male,55.6%) were enrolled for the study. Mean age was 57.8 ± 19.8 (18-89 years).
Nintey six (76.2%) patients were receiving mechanical ventilation support. Mean proBNP levels were 10645.88 ± 12731.08 pg/ml.
There was no statistically significant difference between proBNP levels in patients according to the fluid status. Collapsibility index
was not statistically different according to the volume status (p=0.75).
Conclusion: proBNP levels were not correlated with the fluid balance. proBNP levels and inferior vena cava diameters were negatively
but weakly correlated.

References

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  • Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016;315:801-10. doi: 10.1001/ jama.2016.0287
  • Theerawit P, Morasert T, Sutherasan Y. Inferior vena cava diameter variation compared with pulse pressure variation as predictors of fluid responsiveness in patients with sepsis. J Crit Care 2016;36:246-51. doi: 10.1016/j.jcrc.2016.07.023
  • Steinwandel U, Gibson N, Towell A, Rippey JJR, Rosman J. Can a renal nurse assess fluid status using ultrasound on the inferior vena cava? A cross-sectional interrater study. International Symposium on Home Hemodialysis. Hemodial Int 2018;22:261-9. doi:10.1111/hdi.12606
  • Alexiadis G, Panagoutsos S, Roumeliotis S, et al. Comparison of multiple fluid status assessment methods in patients on chronic hemodialysis. Int Urol Nephrol 2017;49:525-32. 10.1007/s11255.016.1473-y
  • McLean AS, Huang SJ. The applications of B-type natriuretic peptide measurement in the intensive care unit. Curr Opin Crit Care 2005;11:406-12. doi:10.1097/01. ccx.000.017.6695.92883.87
  • Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography. Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. JAm Soc Echocardiogr 2010;23:685-713. doi:10.1016/j. echo.2010.05.010
  • Thanakitcharu P, Charoenwut M, Siriwiwatanakul N. Inferior vena cava diameter and collapsibility index: a practical noninvasive evaluation of intravascular fluid volume in criticallyill patients. JMedAssocThailand = Chotmaihet thangphaet 2013;96 Suppl 3:S14-22.
  • Wang WJ, Zhang XM, Wang Q, et al. [Amino-terminal pro-brain natriuretic peptide and brain natriuretic peptide measurements under various detection conditions in patients with chronic heart failure]. Zhonghua Xin Xue Guan Bing Za Zhi 2011;39:695-9.
  • Lee SW, Song JH, Kim GA, Lim HJ, Kim MJ. Plasma brain natriuretic peptide concentration on assessment of hydration status in hemodialysis patient. Am J Kidney Dis 2003;41:1257- 66. doi: 10.1016/s0272-6386(03)00358-5
  • Crepaldi C, Lamas EI, Martino FK, et al. Bioimpedance and brain natriuretic peptide in peritoneal dialysis patients. Contrib Nephrol 2012;178:174-81. doi: 10.1159/000337849
  • Tapolyai M, Faludi M, Réti V, et al. Volume estimation in dialysis patients: the concordance of brain-type natriuretic peptide measurements and bioimpedance values. International Symposium on Home Hemodialysis. Hemodial Int 2013;17:406-12. doi: 10.1111/hdi.12023
  • Ferrada P, Anand RJ, Whelan J, et al. Qualitative assessment of the inferior vena cava: useful tool for the evaluation of fluid status in critically ill patients. Am Surg 2012;78:468-70.
  • Zhang Z, Xu X, Ye S, Xu L. Ultrasonographic measurement of the respiratory variation in the inferior vena cava diameter is predictive of fluid responsiveness in critically ill patients: systematic review and meta-analysis. Ultrasound Med Biol 2014;40:845-53. doi:10.1016/j.ultrasmedbio.2013.12.010
  • Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: a meta-analysis. Am JEmerg Med 2012;30(8):1414-9.e1. doi: 10.1016/j. ajem.2011.10.017
  • Orso D, Paoli I, Piani T, Cilenti FL, Cristiani L, Guglielmo N. Accuracy of ultrasonographic measurements of inferior vena cava to determine fluid responsiveness: A systematic review and meta-analysis. JInt Care Med 2020;35:354-63. doi: 10.1177/088.506.6617752308
  • Long E, Oakley E, Duke T, Babl FE. Does respiratory variation in inferior vena cava diameter predict fluid responsiveness: A systematic review and meta-analysis. Shock2017;47:550-9. doi:10.1097/shk.000.000.0000000801
  • Zhang X, Luan H, Zhu P, Feng J, Cui J, Zhao Z. Does ultrasonographic measurement of the inferior vena cava diameter correlate with central venous pressure in the assessment of intravascular volume in patients undergoing gastrointestinal surgery? Journal Surg Res2014;191:339-43. doi: 10.1016/j.jss.2014.04.043
  • Muller L, Bobbia X, Toumi M, 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:R188. doi:10.1186/cc11672
  • Hebl V, Zakharova MY, Canoniero M, Duprez D, Garcia S. Correlation of natriuretic peptides and inferior vena cava size in patients with congestive heart failure. Vasc Health Risk Manag 2012;8:213-8. doi: 10.2147/vhrm.s30001
  • Goonewardena SN, Gemignani A, Ronan A, et al. Comparison of hand-carried ultrasound assessment of the inferior vena cava and N-terminal pro-brain natriuretic peptide for predicting readmission after hospitalization for acute decompensated heart failure. JACC Cardiovasc Imaging 2008;1:595-601. doi: 10.1016/j.jcmg.2008.06.005
  • Yavaşi Ö, Ünlüer EE, Kayayurt K, et al. Monitoring the response to treatment of acute heart failure patients by ultrasonographic inferior vena cava collapsibility index. Am J Emerg Med 2014;32:403-7. doi: 10.1016/j.ajem.2013.12.046
Year 2021, Volume: 34 Issue: 1, 1 - 5, 29.01.2021
https://doi.org/10.5472/marumj.858649

Abstract

References

  • De Backer D, Vincent JL. The pulmonary artery catheter: is it still alive? Curr Opin Crit Care 2018;24:204-8. doi: 10.1097/ mcc.000.000.0000000502
  • Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016;315:801-10. doi: 10.1001/ jama.2016.0287
  • Theerawit P, Morasert T, Sutherasan Y. Inferior vena cava diameter variation compared with pulse pressure variation as predictors of fluid responsiveness in patients with sepsis. J Crit Care 2016;36:246-51. doi: 10.1016/j.jcrc.2016.07.023
  • Steinwandel U, Gibson N, Towell A, Rippey JJR, Rosman J. Can a renal nurse assess fluid status using ultrasound on the inferior vena cava? A cross-sectional interrater study. International Symposium on Home Hemodialysis. Hemodial Int 2018;22:261-9. doi:10.1111/hdi.12606
  • Alexiadis G, Panagoutsos S, Roumeliotis S, et al. Comparison of multiple fluid status assessment methods in patients on chronic hemodialysis. Int Urol Nephrol 2017;49:525-32. 10.1007/s11255.016.1473-y
  • McLean AS, Huang SJ. The applications of B-type natriuretic peptide measurement in the intensive care unit. Curr Opin Crit Care 2005;11:406-12. doi:10.1097/01. ccx.000.017.6695.92883.87
  • Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography. Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. JAm Soc Echocardiogr 2010;23:685-713. doi:10.1016/j. echo.2010.05.010
  • Thanakitcharu P, Charoenwut M, Siriwiwatanakul N. Inferior vena cava diameter and collapsibility index: a practical noninvasive evaluation of intravascular fluid volume in criticallyill patients. JMedAssocThailand = Chotmaihet thangphaet 2013;96 Suppl 3:S14-22.
  • Wang WJ, Zhang XM, Wang Q, et al. [Amino-terminal pro-brain natriuretic peptide and brain natriuretic peptide measurements under various detection conditions in patients with chronic heart failure]. Zhonghua Xin Xue Guan Bing Za Zhi 2011;39:695-9.
  • Lee SW, Song JH, Kim GA, Lim HJ, Kim MJ. Plasma brain natriuretic peptide concentration on assessment of hydration status in hemodialysis patient. Am J Kidney Dis 2003;41:1257- 66. doi: 10.1016/s0272-6386(03)00358-5
  • Crepaldi C, Lamas EI, Martino FK, et al. Bioimpedance and brain natriuretic peptide in peritoneal dialysis patients. Contrib Nephrol 2012;178:174-81. doi: 10.1159/000337849
  • Tapolyai M, Faludi M, Réti V, et al. Volume estimation in dialysis patients: the concordance of brain-type natriuretic peptide measurements and bioimpedance values. International Symposium on Home Hemodialysis. Hemodial Int 2013;17:406-12. doi: 10.1111/hdi.12023
  • Ferrada P, Anand RJ, Whelan J, et al. Qualitative assessment of the inferior vena cava: useful tool for the evaluation of fluid status in critically ill patients. Am Surg 2012;78:468-70.
  • Zhang Z, Xu X, Ye S, Xu L. Ultrasonographic measurement of the respiratory variation in the inferior vena cava diameter is predictive of fluid responsiveness in critically ill patients: systematic review and meta-analysis. Ultrasound Med Biol 2014;40:845-53. doi:10.1016/j.ultrasmedbio.2013.12.010
  • Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: a meta-analysis. Am JEmerg Med 2012;30(8):1414-9.e1. doi: 10.1016/j. ajem.2011.10.017
  • Orso D, Paoli I, Piani T, Cilenti FL, Cristiani L, Guglielmo N. Accuracy of ultrasonographic measurements of inferior vena cava to determine fluid responsiveness: A systematic review and meta-analysis. JInt Care Med 2020;35:354-63. doi: 10.1177/088.506.6617752308
  • Long E, Oakley E, Duke T, Babl FE. Does respiratory variation in inferior vena cava diameter predict fluid responsiveness: A systematic review and meta-analysis. Shock2017;47:550-9. doi:10.1097/shk.000.000.0000000801
  • Zhang X, Luan H, Zhu P, Feng J, Cui J, Zhao Z. Does ultrasonographic measurement of the inferior vena cava diameter correlate with central venous pressure in the assessment of intravascular volume in patients undergoing gastrointestinal surgery? Journal Surg Res2014;191:339-43. doi: 10.1016/j.jss.2014.04.043
  • Muller L, Bobbia X, Toumi M, 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:R188. doi:10.1186/cc11672
  • Hebl V, Zakharova MY, Canoniero M, Duprez D, Garcia S. Correlation of natriuretic peptides and inferior vena cava size in patients with congestive heart failure. Vasc Health Risk Manag 2012;8:213-8. doi: 10.2147/vhrm.s30001
  • Goonewardena SN, Gemignani A, Ronan A, et al. Comparison of hand-carried ultrasound assessment of the inferior vena cava and N-terminal pro-brain natriuretic peptide for predicting readmission after hospitalization for acute decompensated heart failure. JACC Cardiovasc Imaging 2008;1:595-601. doi: 10.1016/j.jcmg.2008.06.005
  • Yavaşi Ö, Ünlüer EE, Kayayurt K, et al. Monitoring the response to treatment of acute heart failure patients by ultrasonographic inferior vena cava collapsibility index. Am J Emerg Med 2014;32:403-7. doi: 10.1016/j.ajem.2013.12.046
There are 22 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Huseyin Arıkan This is me

Sait Karakurt This is me

Publication Date January 29, 2021
Published in Issue Year 2021 Volume: 34 Issue: 1

Cite

APA Arıkan, H., & Karakurt, S. (2021). The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients. Marmara Medical Journal, 34(1), 1-5. https://doi.org/10.5472/marumj.858649
AMA Arıkan H, Karakurt S. The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients. Marmara Med J. January 2021;34(1):1-5. doi:10.5472/marumj.858649
Chicago Arıkan, Huseyin, and Sait Karakurt. “The Place of Inferior Vena Cava Diameter and ProBNP Levels in Determining the Fluid Balance of Medical Intensive Care Patients”. Marmara Medical Journal 34, no. 1 (January 2021): 1-5. https://doi.org/10.5472/marumj.858649.
EndNote Arıkan H, Karakurt S (January 1, 2021) The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients. Marmara Medical Journal 34 1 1–5.
IEEE H. Arıkan and S. Karakurt, “The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients”, Marmara Med J, vol. 34, no. 1, pp. 1–5, 2021, doi: 10.5472/marumj.858649.
ISNAD Arıkan, Huseyin - Karakurt, Sait. “The Place of Inferior Vena Cava Diameter and ProBNP Levels in Determining the Fluid Balance of Medical Intensive Care Patients”. Marmara Medical Journal 34/1 (January 2021), 1-5. https://doi.org/10.5472/marumj.858649.
JAMA Arıkan H, Karakurt S. The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients. Marmara Med J. 2021;34:1–5.
MLA Arıkan, Huseyin and Sait Karakurt. “The Place of Inferior Vena Cava Diameter and ProBNP Levels in Determining the Fluid Balance of Medical Intensive Care Patients”. Marmara Medical Journal, vol. 34, no. 1, 2021, pp. 1-5, doi:10.5472/marumj.858649.
Vancouver Arıkan H, Karakurt S. The place of inferior vena cava diameter and proBNP levels in determining the fluid balance of medical intensive care patients. Marmara Med J. 2021;34(1):1-5.