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Abstract

ABSTRACT Objectives: To assess bedside ultrasonographic readings in conjunction with laboratory and clinical results, as well as to look into the efficacy of these measurements while evaluating patients who are being monitored for dehydration and managing their therapy. Methods: We assessed 300 patients, 150 of whom were in the case group and 150 in the control group. Laboratory results throughout therapy, clinical dehydration, vital signs, and bedside ultrasonography results were all documented. A vena cava inferior collapsibility index of 50% or higher, dry oral mucosa, decreased skin turgor, and a fresh onset of altered consciousness were all considered clinical indicators of dehydration. Results: There were statistically significant differences between the maximum and minimum values of the inferior vena cava diameter, inferior vena cava collapsibility index, optic nerve sheath diameters in both eyes, and transverse and anteroposterior diameters in the clinical dehydration group ( p <0.001). Positive correlations that were statistically significant between plasma osmolarity and blood urea/creatinine ratio, sodium, and vena cava inferior collapsibility index, while statistically significant negative correlations were found between plasma osmolarity and central venous pressure, vena cava inferior maximum and minimum, optic nerve sheath diameters in both eyes, transverse diameter, and anteroposterior diameter. Conclusion: Optic nerve sheath, transverse, and anteroposterior diameter measurements from ocular ultrasonographic evaluations correlated with inferior vena cava ultrasonographic measurements and can be used in appropriate patients.

Article Type

Research Article

First Page

1547

Last Page

1560

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