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Ultrasound: Echo:

RAP

Jones

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RAP 3mmHg (0-5 mmHg)

IVC Diameter < 2.1 cm

Respiratory Variation > 50%

RAP 8mmHg (5-10 mmHg)

IVC Diameter < 2.1 cm

Respiratory Variation < 50%

IVC Diameter > 2.1 cm

Respiratory Variation > 50%

RAP 15 mmHg (10-20 mmHg)

IVC Diameter > 2.1 cm

Respiratory Variation < 50%

***Spontaneously breathing and not on positive pressure ventilation***

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36M, Alcoholism, Hgb 6

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36M, Alcoholism, Hgb 6

ULTRASOUNDIDIOTS.COM

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IVC Long Axis (Sagittal)

IVC Coronal View

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IVC in Mechanically Ventilated Patients

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IVC ≤ 12 mm = RAP < 10 mmHg

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IVC > 12 mm is not predictive of RAP

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Study was on a very small number of patients but did include ventilated patients

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PWD and TDI of tricuspid for RAP

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Estimate Right Atrial Pressure

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Patient 1

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RAP

Recommend to measure

Looks like 8 or 15

Patient 1

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Celiac Artery

SMA

Patient 1

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Patient 1

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RAP

3

Patient 1

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Patient 2

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Patient 3

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Patient 4

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Patient 5

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Patient 6

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Patient 7

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Patient 8

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Patient 9