IVC/AO

[PEM POCUS]

Originally sent Monday August 8, 2016

I’m curious with all the conflicting data in the studies who is routinely using IVC and Ivc/aorta measurements in their patients and under what circumstances.

Alex Arroyo

[PEM POCUS]

Originally sent Tuesday August 9, 2016

I can’t say that I use it routinely….nevertheless in a resuscitation of a shocky child or even in a child with gastroenteritis when I want to convince myself even more that the child does not need fluids (i.e. the extremes…) I’ll look at the IVC/Ao ratio.

I won’t base my decisions just on that, but rather integrate the additional data to my decision process. It’s just another piece of the puzzle, as someone uses to say ??

Cheers,

Dr. Ron Berant
Attending Physician
Physician lead for Point Of Care Ultrasound
Pediatric Emergency Medicine
Schneider Children’s Medical Center of Israel

• This reply was modified 7 years, 7 months ago by PEM POCUS.

[PEM POCUS]

Originally sent Tuesday August 9, 2016

Given the terrible performance of measurements, I don’t do them at all.
I just use the “gestalt” method in conjunction with cardiac contractility- mostly to guide fluid resuscitation and determine the need for ionotropic support. For the most part, I only use this for patients in shock or those who are persistently tachycardic or hypotensive after fluids.

Stephanie Doniger

[Author]

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