Cargando…
Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study
Background and objectives: To investigate whether ultrasound (US)-guided femoral vein (FV) and inferior vena cava (IVC) measurements obtained before spinal anesthesia (SA) can be utilized to predict SA-induced hypotension (SAIH) and to identify risk factors associated with SAIH in patients undergoin...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9695314/ https://www.ncbi.nlm.nih.gov/pubmed/36363572 http://dx.doi.org/10.3390/medicina58111615 |
_version_ | 1784838025603186688 |
---|---|
author | Yılmaz, Ayşe Demir, Ufuk Taşkın, Öztürk Soylu, Veysel Garani Doğanay, Zahide |
author_facet | Yılmaz, Ayşe Demir, Ufuk Taşkın, Öztürk Soylu, Veysel Garani Doğanay, Zahide |
author_sort | Yılmaz, Ayşe |
collection | PubMed |
description | Background and objectives: To investigate whether ultrasound (US)-guided femoral vein (FV) and inferior vena cava (IVC) measurements obtained before spinal anesthesia (SA) can be utilized to predict SA-induced hypotension (SAIH) and to identify risk factors associated with SAIH in patients undergoing non-obstetric surgery under SA. Methods: This was a prospective observational study conducted between November 2021 and April 2022. The study included 95 patients over the age of 18 with an American Society of Anesthesiologists (ASA) physical status score of 1 or 2. The maximum and minimum diameters of FV and IVC were measured under US guidance before SA initiation, and the collapsibility index values of FV and IVC were calculated. Patients with and without SAIH were compared. Results: SAIH was observed in 12 patients (12.6%). Patients with and without SAIH were similar in terms of age [58 (IQR: 19–70) vs. 48 (IQR: 21–71; p = 0.081) and sex (males comprised 63.9% of the SAIH and 75.0% of the non-SAIH groups) (p = 0.533). According to univariate analysis, no significant relationship was found between SAIH and any of the FV or IVC measurements. Multiple logistic regression analysis revealed that having an ASA class of 2 was the only independent risk factor for SAIH development (p = 0.014), after adjusting for age, sex, and all other relevant parameters. Conclusions: There is not enough evidence to accept the feasibility of utilizing US-guided FV or IVC measurements to screen for SAIH development in patients undergoing non-obstetric surgery under SA. For this, multicenter studies with more participants are needed. |
format | Online Article Text |
id | pubmed-9695314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96953142022-11-26 Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study Yılmaz, Ayşe Demir, Ufuk Taşkın, Öztürk Soylu, Veysel Garani Doğanay, Zahide Medicina (Kaunas) Article Background and objectives: To investigate whether ultrasound (US)-guided femoral vein (FV) and inferior vena cava (IVC) measurements obtained before spinal anesthesia (SA) can be utilized to predict SA-induced hypotension (SAIH) and to identify risk factors associated with SAIH in patients undergoing non-obstetric surgery under SA. Methods: This was a prospective observational study conducted between November 2021 and April 2022. The study included 95 patients over the age of 18 with an American Society of Anesthesiologists (ASA) physical status score of 1 or 2. The maximum and minimum diameters of FV and IVC were measured under US guidance before SA initiation, and the collapsibility index values of FV and IVC were calculated. Patients with and without SAIH were compared. Results: SAIH was observed in 12 patients (12.6%). Patients with and without SAIH were similar in terms of age [58 (IQR: 19–70) vs. 48 (IQR: 21–71; p = 0.081) and sex (males comprised 63.9% of the SAIH and 75.0% of the non-SAIH groups) (p = 0.533). According to univariate analysis, no significant relationship was found between SAIH and any of the FV or IVC measurements. Multiple logistic regression analysis revealed that having an ASA class of 2 was the only independent risk factor for SAIH development (p = 0.014), after adjusting for age, sex, and all other relevant parameters. Conclusions: There is not enough evidence to accept the feasibility of utilizing US-guided FV or IVC measurements to screen for SAIH development in patients undergoing non-obstetric surgery under SA. For this, multicenter studies with more participants are needed. MDPI 2022-11-09 /pmc/articles/PMC9695314/ /pubmed/36363572 http://dx.doi.org/10.3390/medicina58111615 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yılmaz, Ayşe Demir, Ufuk Taşkın, Öztürk Soylu, Veysel Garani Doğanay, Zahide Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title | Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title_full | Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title_fullStr | Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title_full_unstemmed | Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title_short | Can Ultrasound-Guided Femoral Vein Measurements Predict Spinal Anesthesia-Induced Hypotension in Non-Obstetric Surgery? A Prospective Observational Study |
title_sort | can ultrasound-guided femoral vein measurements predict spinal anesthesia-induced hypotension in non-obstetric surgery? a prospective observational study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9695314/ https://www.ncbi.nlm.nih.gov/pubmed/36363572 http://dx.doi.org/10.3390/medicina58111615 |
work_keys_str_mv | AT yılmazayse canultrasoundguidedfemoralveinmeasurementspredictspinalanesthesiainducedhypotensioninnonobstetricsurgeryaprospectiveobservationalstudy AT demirufuk canultrasoundguidedfemoralveinmeasurementspredictspinalanesthesiainducedhypotensioninnonobstetricsurgeryaprospectiveobservationalstudy AT taskınozturk canultrasoundguidedfemoralveinmeasurementspredictspinalanesthesiainducedhypotensioninnonobstetricsurgeryaprospectiveobservationalstudy AT soyluveyselgarani canultrasoundguidedfemoralveinmeasurementspredictspinalanesthesiainducedhypotensioninnonobstetricsurgeryaprospectiveobservationalstudy AT doganayzahide canultrasoundguidedfemoralveinmeasurementspredictspinalanesthesiainducedhypotensioninnonobstetricsurgeryaprospectiveobservationalstudy |