Table of Contents
ISRN Emergency Medicine
Volume 2012, Article ID 828626, 5 pages
http://dx.doi.org/10.5402/2012/828626
Research Article

Caval Aorta Index and Central Venous Pressure Correlation in Assessing Fluid Status! “Ultrasound Bridging the Gap”

1Department of Accident & Emergency Medicine, Vinayaka Missions University, Salem 636308, India
2Department of Accident & Emergency Medicine, Vinayaka Mission Hospital, Salem 636308, India
3Trauma and Emergency Department, University of Malaya, 50603 Kuala Lumpur, Malaysia

Received 6 April 2012; Accepted 6 May 2012

Academic Editors: R. Breitkreutz and J. D. Losek

Copyright © 2012 Harshitha Sridhar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Accurate body fluid assessment and estimation of fluid status are essential in guiding fluid therapy in emergency setup. This prospective cross-sectional descriptive study conducted to ascertain the effectiveness of inferior vena cava and aorta (IVC/Aorta) index in assessing the fluid status by comparing it with the central venous pressure (CVP). Results showed the mean IVC/Aorta index in patients who had normal CVP range was 1.2 ± 0.12 SD, while in patients with low CVP, the mean index was 0.7 ± 0.09 SD, and, patients with high CVP, the mean index was 1.6 ± 0.05 SD. In conclusion, the sonographic IVC/Aorta index assessment seems to be a quick, simple, noninvasive, and reliable method to access the fluid status in a busy setup like an emergency room.