August 7, 2019Open Access

Role of inferior vena cava collapsibility index in the prediction of hypotension associated with general anesthesia: an observational study

MSMarcell SzabóSemmelweis University ABAnna BozóSemmelweis University KDKatalin DarvasSemmelweis University

Structured PICO

Does preoperatively detected IVCCI ≧50% predict postinduction hypotension in spontaneously breathing preoperative noncardiac surgical patients?

Population

Spontaneously breathing preoperative noncardiac surgical patients

Intervention

Preoperatively detected inferior vena cava collapsibility index (IVCCI) ≧50%

Outcome

Postinduction hypotension

Preoperative IVCCI ≧50% is a specific but not sensitive noninvasive predictor of postinduction hypotension in noncardiac surgical patients.

Abstract

In spontaneously breathing preoperative noncardiac surgical patients, preoperatively detected IVCCI≧50% can predict postinduction hypotension with high specificity but low sensitivity. Despite moderate performance, IVCCI is an easy, noninvasive and attractive option to identify patients at risk and should be explored further.

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