A Prospective Pilot Study of Pocket-Carried Ultrasound Pre- and Postdischarge Inferior Vena Cava Assessment for Prediction of Heart Failure Rehospitalization

2018 ◽  
Vol 24 (9) ◽  
pp. 614-617 ◽  
Author(s):  
Ehimare Akhabue ◽  
Jacob B. Pierce ◽  
Laura J. Davidson ◽  
Stuart B. Prenner ◽  
Raja K. Mutharasan ◽  
...  
2020 ◽  
Vol 11 ◽  
pp. 215013272093134
Author(s):  
Keiko Kimori ◽  
Yukie Tamura

Background: The incidence of heart failure as well as its treatment costs and rehospitalization rates are increasing worldwide. Physical assessment of elderly patients with heart failure living in their homes is challenging for community nurses. Pocket-sized echocardiographs will be useful for assessing the condition of the patients with heart failure during home-visit care. Objectives: This pilot study aimed to examine the feasibility of measuring the inferior vena cava (IVC) diameter using a pocket-sized ultrasound device. Methods: Nursing students were trained to use the pocket-sized ultrasound device (PUSD) for measuring the inferior vena cava diameter of a healthy subject. We evaluated the accuracy and rapidity of the nursing students’ measurements compared with those of an expert sonographer. Results: In total, 83.3% of the participants accurately visualized the IVC using the PSUD. There was no significant difference in the mean IVC diameter between that measured by the students and the sonographer. In total, 25% of the participants accurately measured the IVC diameter. The mean measurement time was 201 seconds. Conclusion: Our training program allowed the participants to accurately visualize the IVC using the PSUD. However, these results on accuracy and measurement time still need to be improved before community nurses can use the PSUD during home visits.


2021 ◽  
Vol 85 (2) ◽  
pp. 4102-4107
Author(s):  
Hussein Abd El-Fattah Mohammed ◽  
Mohamed Salah El-Feshawy ◽  
Fareed Shawky Basiony ◽  
Mustafa Abu shady

2017 ◽  
Vol 31 (3) ◽  
pp. 973-979 ◽  
Author(s):  
Jacobo Moreno Garijo ◽  
Duminda N. Wijeysundera ◽  
Jo Carroll Munro ◽  
Massimiliano Meineri

1956 ◽  
Vol 187 (1) ◽  
pp. 45-50 ◽  
Author(s):  
James O. Davis ◽  
M. Jay Goodkind ◽  
Maurice M. Pechet ◽  
Wilmot C. Ball

Extracts of urine from 11 normal dogs, 9 dogs with cardiac failure and 10 dogs with thoracic inferior vena cava constriction and ascites were assayed for aldosterone-like activity. The activity in urine from dogs with heart failure and from dogs with thoracic caval constriction was equivalent to 52 and 167 µg/day of DCA, respectively, and renal Na excretion was uniformly low. No activity was detected in 4 days' urine from normal dogs but chromatographic fractionation and assay of a 26-day collection of normal dog urine showed Na-retaining and increased K-excreting activity in the aldosterone fraction only. Following bilateral adrenalectomy and discontinuation of DCA therapy in 2 dogs with caval constriction, all urinary aldosterone-like activity disappeared and a natriuresis occurred. Assays of chromatographic fractions of extracts of urine from dogs with heart failure and from dogs with caval constriction revealed activity only in the aldosterone fraction.


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