THE CORRELATION BETWEEN CI-IVC USING USG WITH TBW, CO AND USING NICAS FOR AKI PATIENTS AT EMERGENCY INSTALLATION OF SYAIFUL ANWAR GENERAL HOSPITAL, MALANG

Abstract

Background : Acute Kidney Injury (AKI) was a rapid decrease of glomerular filtrate rate, which was generally reversibly, with/without disruption of fluid, and electrolyte balance. Maintaining a constant body fluid volume remains stable was essential for homeostasis to prevent emergencies and avoid death. Assessment and monitoring of intravascular volume status was an integral part of the critical patients management. One of which couldbe assessed through the Caval Index IVC (CI-IVC) using USG and Total Body Water (TBW) as well as Cardiac Output (CO) and Cardiac Index (CI) using Non-Invasive Cardiac System (NICAS), where the rate of AKI was considered high.  The purpose of this study was: to determine the relationship between CI-IVC and TBW, CO, and CI in AKI patients. Research methods : An observational analytic study was conducted with a cross-sectional approach of 60 samples in the Emergency Installation of  Syaiful Anwar General Hospital Malang from January to December 2018.  Result: The results showed that all relationships between TBW and IVC and CO and CI meet the linearity requirements, with R2 respectively as follows: 0.0969; 0.1062; 0.0325.

CThere is a mutual relationship between CI-IVC using USG and TBW, CO and CI using NICAS in AKI patients.

Keywords: CI-IVC, USG, TBW-CO-CI, NICAS, AKI

DOI: 10.7176/JHMN/76-11

Publication date:June 30th 2020