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Stroke Volume Variation for Prediction of Fluid Responsiveness in Patients Undergoing Gastrointestinal Surgery
Stroke Volume Variation for Prediction of Fluid Responsiveness in Patients Undergoing Gastrointestinal Surgery
- Source :
- International Journal of Medical Sciences
- Publication Year :
- 2013
- Publisher :
- Ivyspring International Publisher, 2013.
-
Abstract
- Background: Stroke volume variation (SVV) has been shown to be a reliable predictor of fluid responsiveness. However, the predictive role of SVV measured by FloTrac/Vigileo system in prediction of fluid responsiveness was unproven in patients undergoing ventilation with low tidal volume. Methods: Fifty patients undergoing elective gastrointestinal surgery were randomly divided into two groups: Group C [n1=20, tidal volume (Vt) = 8 ml/kg, frequency (F) = 12/min] and Group L [n2=30, Vt= 6 ml/kg, F=16/min]. After anesthesia induction, 6% hydroxyethyl starch130/0.4 solution (7 ml/kg) was intravenously transfused. Besides standard haemodynamic monitoring, SVV, cardiac output, cardiac index (CI), stroke volume (SV), stroke volume index (SVI), systemic vascular resistance (SVR) and systemic vascular resistance index (SVRI) were determined with the FloTrac/Vigileo system before and after fluid loading. Results: After fluid loading, the MAP, CVP, SVI and CI increased significantly, whereas the SVV and SVR decreased markedly in both groups. SVI was significantly correlated to the SVV, CVP but not the HR, MAP and SVR. SVI was significantly correlated to the SVV before fluid loading (Group C: r = 0.909; Group L: r = 0.758) but not the HR, MAP, CVP and SVR before fluid loading. The largest area under the ROC curve (AUC) was found for SVV (Group C, 0.852; Group L, 0.814), and the AUC for other preloading indices in two groups ranged from 0.324 to 0.460. Conclusion: SVV measured by FloTrac/Vigileo system can predict fluid responsiveness in patients undergoing ventilation with low tidal volumes during gastrointestinal surgery.
- Subjects :
- Adult
Male
Cardiac output
medicine.medical_specialty
Gastrointestinal Diseases
Fluid responsiveness
Gastrointestinal surgery
Cardiac index
Functional haemodynamic
Humans
Medicine
In patient
Tidal volume
Aged
business.industry
tidal volume
Stroke Volume
General Medicine
Stroke volume
Middle Aged
Water-Electrolyte Balance
Prognosis
Fluid balance
Body Fluids
Surgery
medicine.anatomical_structure
ROC Curve
Stroke volume variation
Anesthesia
Breathing
Vascular resistance
Female
business
Research Paper
Subjects
Details
- ISSN :
- 14491907
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- International Journal of Medical Sciences
- Accession number :
- edsair.doi.dedup.....f7d7e19734fe48139b2b028798230b4a
- Full Text :
- https://doi.org/10.7150/ijms.5293