Cardiothoracic & vascular anesthesia
Internal jugular vein collapsibility does not predict fluid responsiveness in spontaneously breathing patients after cardiac surgery
Authors' conclusion
In spontaneously breathing patients after surgical coronary revascularisation, collapsibility of the internal jugular vein did not predict fluid responsiveness.
Study context
- Population
- Spontaneously breathing patients on the first postoperative day after CABG17 (31.5%) fluid responders
- Participants
- 54 participants
- Comparison
- Internal jugular vein (IJV) collapsibility as predictor of fluid responsiveness
- Outcome
- Diagnostic accuracy of IJV collapsibility for predicting fluid responsiveness (increase in cardiac index ≥ 10% after passive leg raising)
Methodological detailsprospective observational
- Prospective observational
Performance
As reported in the abstract
Prediction of fluid responsiveness
| Test or model | Cut-off | Sensitivity | Specificity | AUC |
|---|---|---|---|---|
| IJV collapsibility | 20% | 76.5% | 38.9% | 0.55 |
IJV collapsibility
Cut-off20%
Sensitivity76.5%
Specificity38.9%
AUC0.55
Further findings
IJV indices at baseline, responders vs non-responders
- IJV collapsibility comparable
- P = 0.7
- Significantly lower inspiratory and expiratory IJV diameters in responders
Original publication
Internal jugular vein collapsibility does not predict fluid responsiveness in spontaneously breathing patients after cardiac surgery. J Clin Monit Comput. Published 12 August 2023. doi:10.
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