Journal of Emergency Practice and Trauma

New acoustic window for assessing the inferior vena cava collapsibility in humans in the prone position

Document Type : Case Report

Authors

Anton Kasatkin 1
Aleksandr Urakov 2
Alekse Shchegolev 3
Vadim Matreshkin 1
Ivan Zlobin 1

1 Department of Anesthesiology and Intensive Care, Izhevsk State Medical Academy, Izhevsk, Russia

2 Department of General and Clinical Pharmacology, Izhevsk State Medical Academy, Izhevsk, Russia

3 Department Anesthesiology and Intensive Care, Kirov Military Medical Academy, Saint Petersburg, Russia

https://doi.org/10.34172/jept.2023.xx
Abstract
Objective: Ultrasound assessment of inferior vena cava (IVC) collapsibility is performed to
determine the volume status of critically ill patients. We propose a new acoustic window
for visualizing a vein in a prone patient.
Case Presentation: A healthy volunteer took part in the study. The study protocol includes
two stages: 1) performing a magnetic resonance imaging (MRI) examination to determine
the projection of a certain IVC area on the posterior chest surface (holotopy), 2) performing
an ultrasound scanning in the area of IVC projection in order to identify it and determine
its dimensions.
Conclusion: The 11th intercostal space parallel to the paraspinal line allows to visualize
the IVC in the prone position. This gives a potential opportunity to use it to assess the IVC
collapsibility. Its potential advantage is the ability to assess the compressibility of IVC in
the antero-posterior direction

Keywords

Ultrasound
Hemodynamics
Volume status
Monitoring
Point-of-care
Subjects
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Journal of Emergency Practice and Trauma
Volume 9, Issue 1
January 2023
Pages 76-78

  • Receive Date 19 February 2023

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