Fluid Therapy and Management (II) Monitoring and Prediction of Fluid Responsiveness

Aykaç, Zeynep Zuhal; Arslantaş, Mustafa Kemal

doi:10.5222/gkdad.2018.001

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…15 Sıvı tedavisi her hasta için bireyselleştirilmelidir. 20 Kan transfüzyonu diğer bir önemli konudur. Sadece hemoglobin değerine bakılarak transfüzyon tedavisi başlanmaz.…”

Section: Abdominal Cerrahide Sıvı Tedavisiunclassified

Abdominal Cerrahide Anestezi

Çardaközü

Aksu

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Günümüzde teknoloji, cerrahi ve anestezideki gelişmeler ameliyat öncesi ve ameliyat sonrası hasta bakımında ilerlemelere neden olmuş ve artık cerrahi en son başvurulan tedavi yöntemi olmaktan çıkmıştır. Abdominal cerrahiye yönelik girişimler mide, safra, karaciğer, dalak, pankreas, ince bağırsak ve kalın bağırsaktaki hastalıkları kapsamakta ve ileri yaş grubunda cerrahi gerektiğinde komorbid hastalıkları nedeniyle ilave sorunları da beraberinde getirmektedir. Acil olduğu durumlarda bu sorunlar daha da artmaktadır. Bu derlemede abdominal cerrahi yapılacak hastalarda perioperatif anestezi yönetimini anlatmayı amaçladık.

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“…15 Sıvı tedavisi her hasta için bireyselleştirilmelidir. 20 Kan transfüzyonu diğer bir önemli konudur. Sadece hemoglobin değerine bakılarak transfüzyon tedavisi başlanmaz.…”

Section: Abdominal Cerrahide Sıvı Tedavisiunclassified

Abdominal Cerrahide Anestezi

Çardaközü

Aksu

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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“…PVI (%)= [(PI max -PI min) / PI max] x 100 provides dynamic automatic assessments in the course of the respiratory period. It is used via a non-invasive, finger/ ear connected oximetry probe (7). In addition, PVI has been demonstrated as a firm indicator of hypotension in anaesthesia induction (8) and can be used as a guide for maintaining fluid response in mechanically ventilated cases (9).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effects of hydroxyethyl starch and succinylated gelatin infusion on the perfusion index in elective caesarean sections under spinal anaesthesia

Koca

2022

Journal of Health Sciences and Medicine

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Aim: This study is to compare the alterations of three different replacement fluids on Perfusion Index, Pleth Variability Index (PI, PVI) and hemodynamic data in cases planned to experience caesarean surgery under spinal anaesthesia. Material and Method: 94 ASAII class patients aged 18–40 that were planned to experience caesarean surgery were included in the study. The patients were divided into three groups according to the fluid replacement to be applied. Patients in Group H received 10 ml/kg of hydroxyethyl starch (HES) up to a maximum of 500 ml over 20 minutes. Patients in Group G got 10 ml/kg of modified liquid gelatin(GEL) up to a maximum of 500 ml over 20 minutes. Patients in Group I got 20 ml/kg of isotonic sodium chloride (0.9% NaCl) over 20 minutes. Routine monitoring and perfusion index, pleth variability index were recorded baseline and at the first, third and tenth min after spinal anaesthesia for all participants Results: A significant increase in the PI value over time was observed in Groups G and I (p=0.001*). According to the PVI results, the amount of decrease in Group G was statistically less than in the other two groups (p=0.015*). Conclusion: In conclusion, 0.9% NaCl and gelatine were more effective on PI in caesarean section under spinal anesthesia. Isotonic has a positive effect on both PI and PVI. We detected that PI increased compared to baseline values, and believe that this increase may a positive effect on tissue circulation in the patient.

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“…Today, hemodynamic monitoring includes static parameters such as pulmonary capillary wedge pressure and central venous pressure, as well as dynamic parameters such as pulse pressure variation and stroke volume variation (4). One of the dynamic parameters used to predict fluid response in mechanically ventilated patients is the pleth variability index (PVI) obtained by continuous and automatic calculation of pulse oximetry plethysmographic waveform variability during the respiratory cycle.…”

Section: Introductionmentioning

confidence: 99%

The effects of body weight and pneumoperitoneum on pleth variability index and total haemoglobin in patients undergoing laparoscopic cholecystectomy: A prospective observational study

PATMANO¹,

PATMANO²,

GÜMÜŞ³

et al. 2022

J. Exp. Clin. Med.

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It is not clear if there is an inaccurate effect of obesity and pneumoperitoneum on non-invasive monitoring parameters. The aim of this study is to determine the effects of CO2 pneumoperitoneum and desufflation on non-invasive monitoring variables between obese and non-obese patients undergoing laparoscopic surgery. Sixty patients were included in the study that underwent laparoscopic cholecystectomy between February 2019 and November 2019. After induction of anaesthesia, systolic and diastolic blood pressures, heart rate, duration of operation and pneumoperitoneum, pleth variability index (PVI) and total hemoglobin (SpHb) data were recorded. The patients were divided into two groups. There was no significant difference between the groups in terms of chronic diseases and duration of operation and pneumoperitoneum. No significant difference was found between the groups in PVI and SpHb values. In comparison of PVI measurement values with T0, a significant difference was found in T3, T4 and T5 in Group 2 (p = 0.010, 0.012 and 0.041, respectively). In comparison of SpHb measurement values with T0, a significant difference was found in T1, T2 and T3 in Group 2 (p = 0.008, 0.010 and 0.037, respectively). In comparison with T5, a significant difference was found in T1, T2 and T3 in Group 2 (p = 0.023, 0.005 and 0.006, respectively). In obese people, pneumoperitoneum can lead to errors in PVI and SpHb monitoring. Although these two parameters are very valuable in intraoperative follow-up, they should be used carefully during laparoscopic procedures in obese patients. If these parameters (PVI and SpHb) are considered to be used in bariatric surgeries, this information should be considered.

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Fluid Therapy and Management (II) Monitoring and Prediction of Fluid Responsiveness

Cited by 8 publications

References 23 publications

Abdominal Cerrahide Anestezi

Abdominal Cerrahide Anestezi

Comparison of the effects of hydroxyethyl starch and succinylated gelatin infusion on the perfusion index in elective caesarean sections under spinal anaesthesia

The effects of body weight and pneumoperitoneum on pleth variability index and total haemoglobin in patients undergoing laparoscopic cholecystectomy: A prospective observational study

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