Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery

Zimmermann, Markus; Feibicke, Thomas; Keyl, Cornelius; Prasser, Christopher; Moritz, Stefan; Graf, Bernhard M.; Wiesenack, Christoph

doi:10.1097/eja.0b013e328335fbd1

Cited by 141 publications

(96 citation statements)

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“…However, it was controversial whether SVV changed when IAP was increased in patients undergoing laparoscopic surgery (7,8). On the other hand, noninvasive plethysmographic variability index (PVI) is a new parameter used for the purpose of fluid responsiveness in patients receiving several kinds of surgeries (9)(10)(11)(12)(13)(14). In patients undergoing laparoscopic surgery, a previous study has suggested that PVI increased significantly after pneumoperitoneum was established (7).…”

Section: Introductionmentioning

confidence: 99%

The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy

Liu

Zhu

et al. 2015

BST

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Section: Introductionmentioning

confidence: 99%

The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy

Liu

Zhu

et al. 2015

BST

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“…We have asserted that SVV values must be estimated cautiously during pneumoperitoneum (6). Pleth variability index (PVI) is another dynamic index, and many studies concluded that it is useful for the assessment of fluid responsiveness in patients (2,(7)(8)(9) although one study concluded that PVI seems inaccurate to predict fluid responsiveness after conventional…”

Section: Introductionmentioning

confidence: 99%

Does pneumoperitoneum affect perfusion index and pleth variability index in patients receiving combined epidural and general anesthesia?

Wajima

Shiga

Imanaga

2017

BST

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“…[54][55][56][57][58] Solus-Biguenet et al, for instance, found a weak correlation of 0.29. 54 Nevertheless, despite this weak correlation, the majority of fluid responsiveness studies suggest that the respiratory variation in the PPG tracing is predictive of the hemodynamic response to fluid loading, [59][60][61][62][63] although this finding is not universal. 64,65 Surprisingly, despite the fact that the physiologic meaning of arterial respiratory variation has been understood for decades, extrapolation to the PPG waveform was completely missed by the manufacturers of pulse oximeters who considered this information ''noise'' and filtered it out through the application of high-pass filters.…”

Section: Fluid Responsivenessmentioning

confidence: 86%

Advances in photoplethysmography: beyond arterial oxygen saturation

Bartels

Thiele

2015

Can J Anesth/J Can Anesth

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Purpose Photoplethysmography permits continuous measurement of heart rate and peripheral oxygen saturation and has been widely used to inform clinical decisions. Recently, a myriad of noninvasive hemodynamic monitoring devices using this same technology have been increasingly available. This narrative review aims to summarize the principles that form the basis for the function of these devices as well as to comment on trials evaluating their accuracy and clinical application. Principal findings Advanced monitoring devices extend photoplethysmography technology beyond measuring oxygen concentration and heart rate. Quantification of respiratory variation of the photoplethysmographic waveform reflects respiratory variation of the arterial pressure waveform and can be used to gauge volume responsiveness. Both the volume-clamp and physiocal techniques are extensions of conventional photoplethysmography and permit continuous measurement of finger arterial blood pressure. Finger arterial pressure waveforms can subsequently inform estimations of cardiac output. Conclusions Although respiratory variations of the plethysmographic waveform correlate only modestly with the arterial blood pressure waveform, fluid responsiveness can be relatively consistently assessed using both approaches. Continuous blood pressure measurements obtained using the volume-clamp technique may be as accurate as conventional brachial noninvasive blood pressure measurements. Most importantly, clinical comparative effectiveness studies are still needed in order to determine if these technologies can be translated into improvement of relevant patient outcomes. RésuméObjectif La photopléthysmographie permet la mesure continue de la fréquence cardiaque et de la saturation en oxygène périphérique, et elle est largement utilisée pour les prises de décisions cliniques. Depuis peu, un très grand nombre de dispositifs non invasifs de surveillance hémodynamique utilisant la même technologie envahit le marché. Cette synthèse narrative vise à résumer les principes à la base du fonctionnement de ces dispositifs et à commenter les essais évaluant leur exactitude ainsi que leurs applications cliniques. Constatations principales Les dispositifs de surveillance avancée étendent la technologie de photopléthysmographie au-delà de la mesure de la concentration en oxygène et de la fréquence cardiaque. La quantification de la variation respiratoire du tracé photopléthysmographique reflète la variation respiratoire du tracé de pression artérielle et peut servir à jauger la réactivité au volume. Les deux techniques de compression volumique (volume-clamp) au doigt et la technique physiocal sont des prolongements de Author contributions Karsten Bartels wrote approximately 50% of the manuscript and critically edited the remainder. Robert H. Thiele wrote approximately 50% of the manuscript and critically edited the remainder.

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Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery

Abstract: Although arterial pressure-derived SVV revealed the best correlation to volume-induced changes in SVI, the results of our study suggest that both variables, SVV and PVI, can serve as valid indicators of fluid responsiveness in mechanically ventilated patients undergoing major surgery.

Cited by 141 publications

References 0 publications

The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy

The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy

Does pneumoperitoneum affect perfusion index and pleth variability index in patients receiving combined epidural and general anesthesia?

Advances in photoplethysmography: beyond arterial oxygen saturation

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