Comparative study of pressure- and volume-controlled ventilation on stroke volume variation as a predictor of fluid responsiveness in patients undergoing major abdominal surgery

Lee, Ji Yeon; Park, Hee Yeon; Jung, Wol Seon; Jo, Youn Yi; Kwak, Hyun Jeong

doi:10.1016/j.jcrc.2011.11.012

Cited by 13 publications

(5 citation statements)

References 29 publications

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“…Considering the type of surgery and the relatively long fasting period, we classified patients with an increasing in CI at least of 15% after 10 ml/kg of Ringer’s lactate as fluid responders (Kang et al 2016 ). As a result, the ratio of FR to NR was approximately 1:1, which was consistent with previous studies (Lee et al 2012 ; Lee et al 2011 ; Kang et al 2016 ).…”

Section: Discussionsupporting

confidence: 92%

Evaluation of fluid responsiveness with dynamic superior vena cava collapsibility index in mechanically ventilated patients

et al. 2023

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Background This study aimed to evaluate the predictive accuracy of the superior vena cava collapsibility index measured by transesophageal echocardiography and compare the index with stroke volume variation measured by FloTrac™/Vigileo™ in mechanically ventilated patients. Methods In the prospective study, a total of 60 patients were enrolled for elective general surgery under mechanical ventilation, where all patients received 10 ml/kg of Ringer’s lactate. Five kinds of related data were recorded before and after the fluid challenge, including the superior vena cava collapsibility index (SVC-CI), the ratio of E/e’, cardiac index (CI), stroke volume variation (SVV), and central venous pressure (CVP). Based on the collected data after the fluid challenge, we classified the patients as responders (FR group) if their CI increased by at least 15% and the rest were non-responders (NR). Results Twenty-five of 52 (48%) of the patients were responders, and 27 were non-responders (52%). The SVC-CI was higher in the responders (41.90 ± 11.48 vs 28.92 ± 9.05%, P < 0.01). SVC-CI was significantly correlated with △CI FloTrac (r = 0.568, P < 0.01). The area under the ROC curve (AUROC) of SVC-CI was 0.838 (95% CI 0.728 ~ 0.947, P < 0.01) with the optimal cutoff value of 39.4% (sensitivity 64%, specificity 92.6%). And there was no significant difference in E/e’ between the two groups (P > 0.05). The best cutoff value for SVV was 12.5% (sensitivity 40%, specificity 89%) with the AUROC of 0.68 (95% CI 0.53 ~ 0.826, P < 0.05). Conclusions The SVC-CI and SVV can predict fluid responsiveness effectively in mechanically ventilated patients. And SVC-CI is superior in predicting fluid responsiveness compared with SVV. The E/e’ ratio and CVP cannot predict FR effectively. Trial registration Chinese clinical trial registry (ChiCTR2000034940).

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Section: Discussionsupporting

confidence: 92%

Evaluation of fluid responsiveness with dynamic superior vena cava collapsibility index in mechanically ventilated patients

et al. 2023

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“…SVV is a cardiopulmonary correlation dynamic parameter, and the predictive value of SVV can be affected by factors, such as breathing patterns, tidal volume (Ti), respiratory rate, spontaneous breathing, cardiac arrhythmia, vascular compliance, and abdominal pressure. [ 14 , 17 – 19 ] Therefore, in order to reduce the influence of such factors on the results, the study selected children based on strict inclusion and exclusion criteria. However, the use of inotropic drugs could not be avoided after surgery.…”

Section: Discussionmentioning

confidence: 99%

Identification of volume parameters monitored with a noninvasive ultrasonic cardiac output monitor for predicting fluid responsiveness in children after congenital heart disease surgery

Cheng

2018

Medicine

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No previous study has used an ultrasonic cardiac output monitor (USCOM) to assess volume parameters, such as stroke volume variation (SVV), in order to predict the volume status and fluid responsivenes in children after congenital heart disease (CHD) surgery. The present prospective trial aimed to investigate the ability of SVV and corrected flow time (FTc), which were assessed with a USCOM, for predicting fluid responsiveness in children after CHD surgery.The study included 60 children who underwent elective CHD surgery. Data were collected after elective CHD surgery. After arrival at PICU, the continuous invasive blood pressure was monitored. Once the blood pressure (BP) decreased to the minimum value, 6% hydroxyethyl starch (130/0.4) was administered (10 mL/kg) over 30 minutes for volume expansion (VE). The USCOM was used to monitor the heart rate, central venous pressure, stroke volume index (SVI), cardiac index, SVV, FTc of the children before and after VE. Additionally, the SVI change (ΔSVI) was calculated, and the inotropic score (IS) was determined. Children with a ΔSVI ≥15% were considered responders, while the others were considered nonresponders. The children were also divided into IS ≤10 and IS >10 groups.Of the 60 children, 32 were responders and 28 were nonresponders. We found that only SVV was significantly correlated with ΔSVI (r = 0.42, P < .01). SVV could predict fluid responsiveness after surgery (area under the curve [AUC]: 0.776, P < .01), and the optimal threshold was 17.04% (sensitivity, 84.4%; specificity, 60.7%). Additionally, the SVV AUC was higher in the IS >10 group than in the IS ≤10 group (0.81 vs 0.73).SVV measured with a USCOM can be used to predict fluid responsiveness after CHD surgery in children. Additionally, the accuracy of SVV for predicting fluid responsiveness might be higher among patients with an IS >10 than among those with an IS ≤10.

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“…25,26 SVV has been introduced in clinical practice to guide fluid management in a goal directed therapy programme for almost ten years. [27][28][29][30] Many recent trials support its reliability in operative room with mechanically ventilated patients to assess fluid responsiveness. 21 Preliminary reports during liver transplantation 31,32 demonstrated a negative effect of low levels of SVV in terms of increased blood loss.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative monitoring of stroke volume variation versus central venous pressure in laparoscopic liver surgery: a randomized prospective comparative trial

Ratti

Cipriani

Reineke

et al. 2016

HPB

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Comparative study of pressure- and volume-controlled ventilation on stroke volume variation as a predictor of fluid responsiveness in patients undergoing major abdominal surgery

Cited by 13 publications

References 29 publications

Evaluation of fluid responsiveness with dynamic superior vena cava collapsibility index in mechanically ventilated patients

Evaluation of fluid responsiveness with dynamic superior vena cava collapsibility index in mechanically ventilated patients

Identification of volume parameters monitored with a noninvasive ultrasonic cardiac output monitor for predicting fluid responsiveness in children after congenital heart disease surgery

Intraoperative monitoring of stroke volume variation versus central venous pressure in laparoscopic liver surgery: a randomized prospective comparative trial

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