Assessment of stroke volume variation for prediction of fluid responsiveness using the modified FloTrac™ and PiCCOplus™ system

Hofer, Christoph K.; Senn, A; Weibel, Luc; Zollinger, Andreas

doi:10.1186/cc6933

Cited by 197 publications

(124 citation statements)

References 25 publications

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“…21,23 An Arrow ® 7 Fr pulmonary artery catheter (Teleflex, Reading, PA, USA) was inserted into the right internal jugular vein for fluid infusion and to monitor CVP, cardiac output and SV using a S/5 Carestation ® (Datex-Ohmeda, Helsinki, Finland). Independent research staff collected the data generated by the FloTrac™/Vigileo™ system in order to maintain blinding in the study.…”

Section: Haemodynamic Measurementsmentioning

confidence: 99%

“…In studies on patients with cardiovascular or pulmonary disease, SVV obtained with the FloTrac™/Vigileo™ system could have been influenced by the disease itself, the patient's body position, thoracic pressure or the surgical operation that was performed. 5,19,21,23 For such cases, PAC or transoesophageal echocardiography may be the optimal choice, while the FloTrac™/Vigileo™ system may be an attractive alternative for monitoring.…”

Section: J LI Fh Ji Jp Yang Stroke Volume Variation and Preoperativmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Stroke Volume Variation Obtained by the FloTrac™/Vigileo™ System to Guide Preoperative Fluid Therapy in Patients Undergoing Brain Surgery

Yang

2012

J Int Med Res

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Section: Haemodynamic Measurementsmentioning

confidence: 99%

Section: J LI Fh Ji Jp Yang Stroke Volume Variation and Preoperativmentioning

confidence: 99%

Evaluation of Stroke Volume Variation Obtained by the FloTrac™/Vigileo™ System to Guide Preoperative Fluid Therapy in Patients Undergoing Brain Surgery

Yang

2012

J Int Med Res

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“…Identifying these values using PiCCO technology, dynamically, in real-time, will allow us to improve our therapeutic decisions. Haemodynamic monitoring employing PiCCO system parameters has been used in numerous studies with surgical or non-surgical patients who required intensive care [13][14][15]. However, there is a great difference between septic patients and surgical patients regarding the duration of ventilation or surgical hemodynamic changes.…”

Section: Discussionmentioning

confidence: 99%

Global end-diastolic volume could be more appropiate to reduce intraoperative bleeding than central venous pressure during major liver transection

Redondo

Padilla

Villazala

et al. 2017

Anaesthesiol Intensive Ther

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Background: Central venous pressure often fails to identify the true value of cardiac preload. Our purpose is to investigate whether Global End-Diastolic Volume (GEDV) values can control hemodynamic parameters for the measurement of fluid volume, cardiac preload and blood loss during liver transection. Methods: This was a prospective clinical study that included patients undergoing liver resection. All patients were monitored by means of PiCCO technology and 222 hemodynamic measurements were performed in 74 patients. Fluid restriction was used. Transpulmonary thermodilutions were performed at different times of surgery, namely: 1. at the beginning of surgery; 2. before hepatectomy and after selective vascular exclusion (Time 1); 3. approximately half way through the liver transection (Time 2); and 4. after liver resection (Time 3). Results: One hundred and twenty-nine of the 222 GEDV values were decreased (prevalence of hypovolemia of 58.1%). However, twenty two of the 222 CVP values were decreased (prevalence of 10.8%). Sensitivity of CVP with regard to volume depletion (GEDV > 650 mL m -2 ) on the times (1, 2 and 3) were ) and 21.43 (95% CI: 7.83-35.03), respectively. There was no correlation between CVP and GEDV. Conclusions: GEDV values may be more appropriate for monitoring cardiac preload during liver transection.

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“…In elective cardiac surgery SVV assessed using FloTrac /Vigileo and PiCCOplus exhibited similar performances but the FloTrac-SVV was observed to have a lower threshold value than the PiCCOplus-SVV (10% versus 13%) [60]. In comparison with LiDCOplus, in a study on post-CABG patients the SVV values offered by the two systems were significantly different, the two methods being not interchangeable [61].…”

Section: Flotrac/vigileo (Edwards Lifesciences -Usa)mentioning

confidence: 95%

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Hendy

Bubenek

2016

Rom J Anaesth Int Care

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Hemodynamic monitoring has evolved and improved greatly during the past decades as the medical approach has shifted from a static to a functional approach. The technological advances have led to innovating calibrated or not, but minimally invasive and noninvasive devices based on arterial pressure waveform (APW) analysis. This systematic clinical review outlines the physiologic rationale behind these recent technologies. We describe the strengths and the limitations of each method in terms of accuracy and precision of measuring the flow parameters (stroke volume, cardiac output) and dynamic parameters which predict the fluid responsiveness. We also analyzed the place of the APW monitoring devices in goaldirected therapy (GDT) protocols in cardiac surgical patients. According to the data from the three GDTrandomized control trials performed in cardiac surgery (using two types of APW techniques PiCCO and FloTrac/Vigileo), these devices did not demonstrate that they played a role in decreasing mortality, but only decreasing the ventilation time and the ICU and hospital length of stay.

show abstract

Assessment of stroke volume variation for prediction of fluid responsiveness using the modified FloTrac™ and PiCCOplus™ system

Cited by 197 publications

References 25 publications

Evaluation of Stroke Volume Variation Obtained by the FloTrac™/Vigileo™ System to Guide Preoperative Fluid Therapy in Patients Undergoing Brain Surgery

Evaluation of Stroke Volume Variation Obtained by the FloTrac™/Vigileo™ System to Guide Preoperative Fluid Therapy in Patients Undergoing Brain Surgery

Global end-diastolic volume could be more appropiate to reduce intraoperative bleeding than central venous pressure during major liver transection

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

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