Value of internal juguler vein distensability and carotid artery Doppler in assessment of fluid responsiveness in sever sepsis and septic shock patients

ABSTRACT

Transthoracic echocardiography (TTE) is becoming the choice of hemodynamic assessment tool in many intensive care units. It has been gaining popularity due to its noninvasiveness where the benefit far outweighs the risk.  The Doppler study of carotid artery circulation and internal juguler vein ultrasound are simple and overpasses this common limit among intensive patient. Moreover, it showed to be an easy-learning tool. Transthoracic echocardiography provides an accurate and noninvasive measurement of cardiac output. Measurements of VTI and its variations are directly correlated with variations in cardiac output. The standard definition of volume responsiveness is a >15% increase in cardiac output in response to volume expansion.

Key Words: Carotid artery, Internal juguler vein, sever sepsis and septic shock, TTE

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