scholarly journals Feasibility of Using a Pocket-Sized Ultrasound Device to Measure the Inferior Vena Cava Diameter of Patients With Heart Failure in the Community Setting: A Pilot Study

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

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

2014 ◽  
Vol 43 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Stefan Tchernodrinski ◽  
Brian P. Lucas ◽  
Ambarish Athavale ◽  
Carolina Candotti ◽  
Bosko Margeta ◽  
...  

1970 ◽  
Vol 5 (2) ◽  
pp. 51-53 ◽  
Author(s):  
Kanta Das ◽  
Shamsi Ara Begum ◽  
Sharmistha Dey ◽  
MA Quddus ◽  
AS Mohiuddin

Detection and monitoring of blood loss in trauma patients can often be challenging. Change in the inferior vena cava diameter (IVCd) occurs due to alteration in circulating blood volume (CBV) and blood loss. Ultrasonographic measurement of IVCd provides a noninvasive real-time information of the CBV. The present study was designed to determine whether acute blood loss could be detected by sonographic measurement of the IVCd. A total of 50 volunteer blood donors aged 18 to 57 years were studied in the Department of Radiology and Imaging of Dhaka Medical College Hospital (DMCH) from July 2004 to June 2005. The inferior vena cava diameters, both during inspiration and expiration were measured by ultrasound examination immediately before and after donation of a single unit (450ml) of blood. During examination, the transducer was applied to the epigastrium parallel to the median line about 2 cm to the right of it for sagittal sections, and at a right angle to the median line about 3 cm below the xiphoid process for transverse sections. In sagittal sections, the inferior vena cava behind the liver were imaged during inspiration and expiration. The mean diameter of IVC during expiration before and after the blood donation was 17.5mm (±1.56mm) and 11.93mm (±1.48mm) respectively. Likewise, the mean diameter of IVC during inspiration before and after the blood donation was 12.96mm (±1.61mm) and 7.58mm (±1.29mm) respectively. The decrease in INV diameter following blood loss was significant (p< 0.01). Thus, the acute depletion of CBV could be detected by measuring the change of IVCd by sonography. Further study may be undertaken to determine the relationship of unit change of IVCd due to acute blood loss in case of trauma or other conditions. DOI: http://dx.doi.org/10.3329/imcj.v5i2.10099 IMCJ 2011; 5(2): 51-53


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