IVC/AO

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  • #629
    PEM POCUSPEM POCUS
    Keymaster
    Rank: Newbie

    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

    #631
    PEM POCUSPEM POCUS
    Keymaster
    Rank: Newbie

    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 3 years, 5 months ago by PEM POCUSPEM POCUS.
    #633
    PEM POCUSPEM POCUS
    Keymaster
    Rank: Newbie

    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

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