1. TOPIC
New Non – invasive Test Confirms Accurately Intravascular Fluid Status in Patients with HYPOTENSION on top of Severe Morbidities (COPD, Cirrhosis, End – stage renal failure, or on Respirator) during cardiovascular interventional procedures
Presenter : Tran Trien

2. OUTLINE
HYPOTHESIS
METHODS
RESULT
CONCLUSION

3. HYPOTHESIS
13%
65%
More elastic
More compliant

4. METHODS CHOOSE SAMPLE Number of patient : 40 patients
Borderline hypotension during interventional procedures while having severe morbidities including COPD, cirrhosis, CKD or on ventilator
CLASSIFY THE PATIENTS
PE, Echocardiography, X – ray
SEFV test
Statistical analysis:
Fisher’s exact test for categorical variables
Two-sample t-test for continuous variables

5. METHODS
Cirrhosis
COPD
On ventilator

6. METHODS

7. METHODS
Normal Person

8. METHODS
Hypovolemia
Fluid overload/Heart failure

9. Size and Expansion of the Femoral Vein (SEFV) test
RESULTS
40 patients
Borderline hypotension during interventional procedures while having severe morbidities including COPD, cirrhosis, CKD or on ventilator
Size and Expansion of the Femoral Vein (SEFV) test
40 patients
Diagnosis
More accurate
Treatment
Less medications (2.5 vs 5)
Without renal failure (2 vs 14)
Shorter ICU (1.5 vs 3 days)
Shorter hospitalization (2.7 vs 5 days)

10. Registries with higher number of patients are needed.
CONCLUSION
The SEFV test was more accurate in confirming the fluid status of patient with hypotension on top of complex co-morbidities while undergoing interventional procedures
Registries with higher number of patients are needed.

11. Thank You