medicina59巻8号

2022年07月発行

特集 日常診療に潜む臨床検査のピットフォールを回避せよ 各論 ＜画像検査＞

Case 29．IVCが拡張していれば輸液は不要？

著者： 堤俊太¹ 濱井彩乃¹

所属機関： ¹安房地域医療センター総合診療科

ページ範囲：P.1337 - P.1341

症例
72歳男性
主　訴　血便

参考文献

1）Lang RM, et al：Recommendations for cardiac chamber quantification by echocardiography in adults；An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28：1-39.e14, 2015

2）Via G, et al：Ten situations where inferior vena cava ultrasound may fail to accurately predict fluid responsiveness：A physiologically based point of view. Intensive Care Med 42：1164-1167, 2016

3）Marik PE：Fluid responsiveness and the six guiding principles of fluid resuscitation. Crit Care Med 44：1920-1922, 2016

4）Long E, et al：Does respiratory variation in inferior vena cava diameter predict fluid responsiveness；A systematic review and meta-analysis. Shock 47：550-559, 2017

5）Orso D, et al：Accuracy of ultrasonographic measurements of inferior vena cava to determine fluid responsiveness；A systematic review and meta-analysis. J Intensive Care Med 35：354-363, 2020

6）Airapetian N, et al：Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients?. Critical care 19：400, 2015

7）Thiel SW, et al：Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients；An observational cohort study. Crit Care 13：R111, 2009