{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:19Z","timestamp":1704326599692},"reference-count":9,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2017,9,9]],"date-time":"2017-09-09T00:00:00Z","timestamp":1504915200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["Interventional Medicine and Applied Science"],"published-print":{"date-parts":[[2017,9,9]]},"abstract":"<jats:p>Fluid therapy is one of the main issues for hemodynamic resuscitation. Tissue Doppler imaging (TDI) of the right ventricle (RV) with bedside ultrasound (BUS) technique is a new dynamic method to identify fluid responsiveness in patients with hypotension. Here, we present the case of a hypotensive patient monitored with TDI measurements of RV. A 75-year-old male patient was admitted to the emergency department (ED) with the complaint of diarrhea. He was in severe hypovolemia, with hypotension, tachycardia, and tachypnea. His laboratory results were normal. BUS was performed on the patient by the ED physician. The velocity of the excursion of the tricuspid valve measured at presentation was 14.47\u00a0cm\/s and, together with collapsed inferior vena cava (IVC), this finding led to the decision to begin fluid therapy immediately. The patient underwent 2\u00a0L of fluid therapy with 0.9% NaCl in a 2-h period. Control BUS after fluid therapy revealed decreased TDI velocity of tricuspid annulus to 11.81\u00a0cm\/s and dilated IVC not collapsing sufficiently with respiration. The patient received his maintenance therapy after admission to the internal medicine department and was discharged from the service after 3 days. TDI in fluid responsiveness may find a clinical role in the future by the clinical studies.<\/jats:p>","DOI":"10.1556\/1646.9.2017.23","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T07:09:45Z","timestamp":1505113785000},"page":"212-214","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A bedside ultrasound technique for fluid therapy monitoring in severe hypovolemia: Tissue Doppler imaging of the right ventricle"],"prefix":"10.1556","volume":"9","author":[{"given":"Erden Erol","family":"Unluer","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Usak University Medical Faculty, Usak, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Togay","family":"Evrin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burak","family":"Katipoglu","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Ankara Education and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Bayata","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Izmir Katip \u00c7elebi University, Ataturk Research and Training Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Acta Anaesthesiol Scand","first-page":"692","article-title":"Predicting fluid responsiveness with transthoracic echocardiography is not yet evidence based","volume":"57","author":"Wetterslev\n              M","year":"2013","unstructured":"Wetterslev\n              M\n            \n            , \n            \n              Haase\n              N\n            \n            , \n            \n              Johansen\n              RR\n            \n            , \n            \n              Perner\n              A\n            \n          : Predicting fluid responsiveness with transthoracic echocardiography is not yet evidence based. Acta Anaesthesiol Scand57, 692\u2013697 (2013)"},{"key":"B2","series-title":"Am J Emerg Med","first-page":"1414","article-title":"Role of inferior vena cava diameter in assessment of volume status: A meta-analysis","volume":"30","author":"Dipti\n              A","year":"2012","unstructured":"Dipti\n              A\n            \n            , \n            \n              Soucy\n              Z\n            \n            , \n            \n              Chandra\n              S\n            \n          : Role of inferior vena cava diameter in assessment of volume status: A meta-analysis. Am J Emerg Med30, 1414\u20131419.e1 (2012)"},{"key":"B3","series-title":"Chest","first-page":"867","article-title":"Predicting volume responsiveness by using the end-expiratory occlusion in mechanically ventilated patients with septic shock","volume":"119","author":"Feissel\n              M","year":"2001","unstructured":"Feissel\n              M\n            \n            , \n            \n              Michard\n              F\n            \n            , \n            \n              Mangin\n              I\n            \n            , \n            \n              Ruyer\n              O\n            \n            , \n            \n              Faller\n              JP\n            \n            , \n            \n              Teboul\n              JL\n            \n          : Predicting volume responsiveness by using the end-expiratory occlusion in mechanically ventilated patients with septic shock. Chest119, 867\u2013873 (2001)"},{"key":"B4","series-title":"Crit Care Med","first-page":"2642","article-title":"Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: A systematic review of the literature","volume":"37","author":"Marik\n              PE","year":"2009","unstructured":"Marik\n              PE\n            \n            , \n            \n              Cavallazzi\n              R\n            \n            , \n            \n              Vasu\n              T\n            \n            , \n            \n              Hirani\n              A\n            \n          : Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: A systematic review of the literature. Crit Care Med37, 2642\u20132647 (2009)"},{"key":"B5","series-title":"Intensive Care Med","first-page":"1834","article-title":"The respiratory variation in inferior vena cava diameter as a guide to fluid therapy","volume":"30","author":"Feissel\n              M","year":"2004","unstructured":"Feissel\n              M\n            \n            , \n            \n              Michard\n              F\n            \n            , \n            \n              Faller\n              JP\n            \n            , \n            \n              Teboul\n              JL\n            \n          : The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med30, 1834\u20131837 (2004)"},{"key":"B6","series-title":"Intensive Care Med","first-page":"1740","article-title":"Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients","volume":"30","author":"Barbier\n              C","year":"2004","unstructured":"Barbier\n              C\n            \n            , \n            \n              Loubi\u00e8res\n              Y\n            \n            , \n            \n              Schmit\n              C\n            , Hayon J, Ric\u00f4meJ-L, JardinF, Vieillard-BaronA: Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med30, 1740\u20131746 (2004)"},{"key":"B7","series-title":"J Am Soc Echocardiogr","first-page":"1143","article-title":"Tissue Doppler imaging: A useful echocardiographic method for the cardiac sonographers to assess systolic and diastolic ventricular function","volume":"14","author":"Waggoner\n              AD","year":"2001","unstructured":"Waggoner\n              AD\n            \n            , \n            \n              Bierig\n              SM\n            \n          : Tissue Doppler imaging: A useful echocardiographic method for the cardiac sonographers to assess systolic and diastolic ventricular function. J Am Soc Echocardiogr14, 1143\u20131152 (2001)"},{"key":"B8","series-title":"BMC Cardiovasc Disord","first-page":"20","article-title":"Relation of tricuspid annular displacement and tissue Doppler imaging velocities with duration of weaning in mechanically ventilated patients with acute pulmonary edema","volume":"10","author":"Papaioannou\n              V","year":"2010","unstructured":"Papaioannou\n              V\n            \n            , \n            \n              Stakos\n              D\n            \n            , \n            \n              Dragoumanis\n              C\n            \n            , \n            \n              Pneumaticos\n              I\n            \n          : Relation of tricuspid annular displacement and tissue Doppler imaging velocities with duration of weaning in mechanically ventilated patients with acute pulmonary edema. BMC Cardiovasc Disord10, 20 (2010)"},{"key":"B9","series-title":"J Crit Care","first-page":"1111.e7","article-title":"Assessment of right ventricular functions in patients with sepsis, severe sepsis and septic shock and its prognostic importance: A tissue Doppler study","volume":"28","author":"Harmankaya\n              A","year":"2003","unstructured":"Harmankaya\n              A\n            \n            , \n            \n              Akilli\n              H\n            \n            , \n            \n              Gul\n              M\n            \n            , \n            \n              Akilli\n              NB\n            \n            , \n            \n              Ergin\n              M\n            \n            , \n            \n              Aribas\n              A\n            \n            , \n            \n              Cander\n              B\n            \n          : Assessment of right ventricular functions in patients with sepsis, severe sepsis and septic shock and its prognostic importance: A tissue Doppler study. 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