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 😀😀
Dr. Ron Berant
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 POCUS.
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.