Transabdominal ultrasonographic measurement of caudal vena cava to aorta derived ratios in clinically healthy neonatal foals.
Abstract: Ultrasonographic measurement of the vena cava and aorta (Ao) diameters and their ratios have been suggested to be a reliable way of quantifying hypovolemia. To evaluate the feasibility and reliability of an ultrasonographic technique for measurement of Ao and caudal vena cava (CVC) and derived ratios using three different acoustic windows in a population of healthy neonatal foals. Correlation between Ao and CVC measurements and ratios and foals' age or bodyweight were also investigated. In 14 healthy foals aged less than 7 days, the diameters of the Ao and of the CVC in long and short axis were measured by two observers from images obtained using three different ultrasonographic imaging planes (left dorsal, left ventral and right views). The Ao and CVC cross-sectional area and the CVC/Ao diameter and area ratios were calculated. Image quality was subjectively assessed. Intraobserver and interobserver reliabilities for image quality scores and measurements were evaluated between the two observers. Simple linear regression models were used to identify correlations between the CVC/Ao measurements and ratios and the age and bodyweight of the foals. The left ventral view showed the highest reliability. A correlation between bodyweight and the short axis measurement of the CVC was found (R = 0.385; p = 0.018). Age was positively correlated with the long axis of measurement of the CVC (R = 0.426; p = 0.011) and CVC/Ao diameter ratio (R = 0.625; p = 0.001). The left ventral view allows the Ao and CVC cross sections to be easily visualized and measured in neonatal foals in right lateral recumbency.
© 2021 The Authors Veterinary Medicine and Science Published by John Wiley & Sons Ltd.
Publication Date: 2021-05-03 PubMed ID: 33939323PubMed Central: PMC8464261DOI: 10.1002/vms3.506Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article studies the feasibility and reliability of an ultrasound technique that measures the diameters and corresponding ratios of the aorta and caudal vena cava in healthy neonatal foals. The study found a correlation between these ultrasonographic measurements and ratios and the foals’ age or bodyweight.
Background
- This research attempts to evaluate the reliability and feasibility of using ultrasonography to measure the caudal vena cava (CVC) and the aorta (Ao) diameters and their derived ratios in healthy neonatal foals.
- These measurements have previously been suggested as an effective way of quantifying hypovolemia, a condition where there’s less blood than needed in the body.
Method
- The researchers performed the ultrasonographic measurements using three different acoustic windows, or viewing planes for the ultrasound: left dorsal, left ventral and right views.
- Two observers separately performed the measurements on the same 14 healthy foals, aged fewer than 7 days. The goal was to measure the Ao and CVC diameters in both long and short axes and then calculate their derived ratios, including cross-sectional areas and diameter ratios.
- They also subjectively assessed the quality of the images obtained from the ultrasound.
Findings
- The left ventral view was determined to be the most reliable ultrasonographic view.
- The research identified a correlation between the bodyweight of the foals and the short axis measurement of the CVC (R = 0.385; p = 0.018).
- An age-related correlation was found with the long axis measurement of the CVC (R = 0.426; p = 0.011) and the CVC/Ao diameter ratio (R = 0.625; p = 0.001).
Implications
- The research indicated that the left ventral view allows the Ao and CVC cross sections to be easily visualized and measured in neonatal foals in right lateral recumbency.
- The findings lend credibility to the use of ultrasonography as a reliable method for monitoring changes in the neonatal foal fluid status and allows for early intervention if hypovolemia is suspected.
Cite This Article
APA
Del Prete C, Freccero F, Lanci A, Hallowell GD, Bullone C, Castagnetti C, Pasolini MP.
(2021).
Transabdominal ultrasonographic measurement of caudal vena cava to aorta derived ratios in clinically healthy neonatal foals.
Vet Med Sci, 7(5), 1451-1459.
https://doi.org/10.1002/vms3.506 Publication
Researcher Affiliations
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.
- School of Veterinary Medicine and Science, Sutton Bonington Campus, University of Nottingham, Leicestershire, UK.
- Private Practitioner, Naples, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.
- Health Science and Technologies Interdepartmental Center for Industrial Research (HST-ICIR), University of Bologna, Bologna, Italy.
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy.
MeSH Terms
- Animals
- Aorta / diagnostic imaging
- Body Weight
- Horses
- Reproducibility of Results
- Ultrasonography / veterinary
- Vena Cava, Inferior / diagnostic imaging
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 33 references
- Aleman M, Gillis CL, Nieto JE, Renaudin CD, Bea J. Ultrasonographic anatomy and biometric analysis of the thoracic and abdominal organs in healthy foals from birth to age 6 months.. Equine Vet J 2002 Nov;34(7):649-55.
- Boussuges A, Gole Y, Blanc P. Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values.. Chest 2009 Feb;135(2):391-400.
- Cambournac M, Goy-Thollot I, Violé A, Boisvineau C, Pouzot-Nevoret C, Barthélemy A. Sonographic assessment of volaemia: development and validation of a new method in dogs.. J Small Anim Pract 2018 Mar;59(3):174-182.
- Chen L, Hsiao A, Langhan M, Riera A, Santucci KA. Use of bedside ultrasound to assess degree of dehydration in children with gastroenteritis.. Acad Emerg Med 2010 Oct;17(10):1042-7.
- Chen L, Kim Y, Santucci KA. Use of ultrasound measurement of the inferior vena cava diameter as an objective tool in the assessment of children with clinical dehydration.. Acad Emerg Med 2007 Oct;14(10):841-5.
- Ciozda W, Kedan I, Kehl DW, Zimmer R, Khandwalla R, Kimchi A. The efficacy of sonographic measurement of inferior vena cava diameter as an estimate of central venous pressure.. Cardiovasc Ultrasound 2016 Aug 20;14(1):33.
- Cohen J. A coefficient of agreement for nominal scales. Educational and Psychological Measurement 20(1), 37–46.
- Darnis E, Boysen S, Merveille AC, Desquilbet L, Chalhoub S, Gommeren K. Establishment of reference values of the caudal vena cava by fast-ultrasonography through different views in healthy dogs.. J Vet Intern Med 2018 Jul;32(4):1308-1318.
- Darnis E, Merveille AC, Desquilbet L, Boysen S, Gommeren K. Interobserver agreement between non-cardiologist veterinarians and a cardiologist after a 6-hour training course for echographic evaluation of basic echocardiographic parameters and caudal vena cava diameter in 15 healthy Beagles.. J Vet Emerg Crit Care (San Antonio) 2019 Sep;29(5):495-504.
- Duggan C, Refat M, Hashem M, Wolff M, Fayad I, Santosham M. How valid are clinical signs of dehydration in infants?. J Pediatr Gastroenterol Nutr 1996 Jan;22(1):56-61.
- Gorelick MH, Shaw KN, Murphy KO. Validity and reliability of clinical signs in the diagnosis of dehydration in children.. Pediatrics 1997 May;99(5):E6.
- Gustafsson M, Alehagen U, Johansson P. Pocket-sized ultrasound examination of fluid imbalance in patients with heart failure: a pilot and feasibility study of heart failure nurses without prior experience of ultrasonography.. Eur J Cardiovasc Nurs 2015 Aug;14(4):294-302.
- Hoffmann KL, Wood AK, McCarthy PH. Ultrasonography of the equine neonatal kidney.. Equine Vet J 2000 Mar;32(2):109-13.
- Kathuria N, Ng L, Saul T, Lewiss RE. The baseline diameter of the inferior vena cava measured by sonography increases with age in normovolemic children.. J Ultrasound Med 2015 Jun;34(6):1091-6.
- Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research.. J Chiropr Med 2016 Jun;15(2):155-63.
- Kosiak W, Swieton D, Piskunowicz M. Sonographic inferior vena cava/aorta diameter index, a new approach to the body fluid status assessment in children and young adults in emergency ultrasound--preliminary study.. Am J Emerg Med 2008 Mar;26(3):320-5.
- Kwak J, Yoon H, Kim J, Kim M, Eom K. Ultrasonographic measurement of caudal vena cava to aorta ratios for determination of volume depletion in normal beagle dogs.. Vet Radiol Ultrasound 2018 Mar;59(2):203-211.
- Kwon H, Jung JY, Lee JH, Kwak YH, Kim do K, Jung JH, Chang IW, Kim K. Sonographic aorta/IVC cross-sectional area index for evaluation of dehydration in children.. Am J Emerg Med 2016 Sep;34(9):1840-4.
- Levine AC, Shah SP, Umulisa I, Munyaneza RB, Dushimiyimana JM, Stegmann K, Musavuli J, Ngabitsinze P, Stulac S, Epino HM, Noble VE. Ultrasound assessment of severe dehydration in children with diarrhea and vomiting.. Acad Emerg Med 2010 Oct;17(10):1035-41.
- Lisciandro GR. Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals.. J Vet Emerg Crit Care (San Antonio) 2011 Apr;21(2):104-22.
- Long A, Rouet L, Lindholt JS, Allaire E. Measuring the maximum diameter of native abdominal aortic aneurysms: review and critical analysis.. Eur J Vasc Endovasc Surg 2012 May;43(5):515-24.
- Lyon M, Blaivas M, Brannam L. Sonographic measurement of the inferior vena cava as a marker of blood loss.. Am J Emerg Med 2005 Jan;23(1):45-50.
- McHugh ML. Interrater reliability: the kappa statistic.. Biochem Med (Zagreb) 2012;22(3):276-82.
- Meneghini C, Rabozzi R, Franci P. Correlation of the ratio of caudal vena cava diameter and aorta diameter with systolic pressure variation in anesthetized dogs.. Am J Vet Res 2016 Feb;77(2):137-43.
- Palmer JE. Fluid therapy in the neonate: not your mother's fluid space.. Vet Clin North Am Equine Pract 2004 Apr;20(1):63-75.
- Poutanen T, Tikanoja T, Sairanen H, Jokinen E. Normal aortic dimensions and flow in 168 children and young adults.. Clin Physiol Funct Imaging 2003 Jul;23(4):224-9.
- Saavedra JM, Harris GD, Li S, Finberg L. Capillary refilling (skin turgor) in the assessment of dehydration.. Am J Dis Child 1991 Mar;145(3):296-8.
- Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated?. JAMA 2004 Jun 9;291(22):2746-54.
- Tuplin MC, Romero AE, Boysen SR. Influence of the Respiratory Cycle on Caudal Vena Cava Diameter Measured by Sonography in Healthy Foals: A Pilot Study.. J Vet Intern Med 2017 Sep;31(5):1556-1562.
- Yanagawa Y, Nishi K, Sakamoto T, Okada Y. Early diagnosis of hypovolemic shock by sonographic measurement of inferior vena cava in trauma patients.. J Trauma 2005 Apr;58(4):825-9.
- Yilmaz K, Karaböcüoglu M, Citak A, Uzel N. Evaluation of laboratory tests in dehydrated children with acute gastroenteritis.. J Paediatr Child Health 2002 Jun;38(3):226-8.
- Zengin S, Al B, Genc S, Yildirim C, Ercan S, Dogan M, Altunbas G. Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia.. Am J Emerg Med 2013 May;31(5):763-7.
- Zöllei E, Bertalan V, Németh A, Csábi P, László I, Kaszaki J, Rudas L. Non-invasive detection of hypovolemia or fluid responsiveness in spontaneously breathing subjects.. BMC Anesthesiol 2013 Nov 5;13(1):40.
Citations
This article has been cited 4 times.- Casalta H, Busoni V, Eppe J, Grulke S, Merveille AC, Moula N, Gommeren K. Ultrasonographical Assessment of Caudal Vena Cava Size through Different Views in Healthy Calves: A Pilot Study. Vet Sci 2022 Jun 22;9(7).
- Scala E, Durie I, Gommeren K, Saegerman C, van Galen G. Ultrasonographic Assessment of Caudal Vena Cava Collapsibility Index, Caudal Vena Cava-to-Aorta, and Femoral Vein-to-Artery Ratios in Healthy Sedated Adult Horses. Animals (Basel) 2025 Sep 28;15(19).
- Erturk A, Sevinc M. The ultrasonographic evaluation of caudal vena cava diameter before and after fluid replacement in neonatal dehydrated calves with diarrhea. BMC Vet Res 2025 Jul 2;21(1):424.
- Whitelock A, Goodwin W, Pratt S, Nash K. Feline caudal vena cava to aorta ratio reference interval. J Feline Med Surg 2024 Dec;26(12):1098612X241303309.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists