Hemodynamics, fluids & transfusion
Pulsatile Femoral Vein Doppler Pattern is a Parameter of Venous Congestion in Intensive Care Unit (ICU) Patients
Authors' conclusion
In the ICU, a pulsatile femoral vein pattern is associated with parameters of venous congestion, independently of the patient's volume status, and ventilatory treatment.
Study context
- Population
- Adult ICU patients with ultrasound evaluations at several time points during ICU stay, 3 medico-surgical university-affiliated ICUs400 ultrasound evaluations
- Participants
- 108 patients
- Outcome
- Pulsatile femoral vein pattern: prevalence and associated factors (multivariable mixed effects logistic regression)
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Odds ratio (95% CI)P value
BMI
0.91(0.85–0.96)
P = 0.002Inferior vena cava mean diameter
2.35(1.18–4.66)
P = 0.014Portal vein pulsatility
2.3(1.2–4.4)
P = 0.012Congestive renal vein flow pattern
4.02(2.01–8.03)
P < 0.001- Pulsatile femoral vein pattern at ≥1 time point
- 79 of 108 patients (73%)
Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Pulsatile Femoral Vein Doppler Pattern is a Parameter of Venous Congestion in ICU Patients. J Cardiothorac Vasc Anesth. Published 25 April 2023. doi:10.
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