Positive end-expiratory pressure-induced increase in external jugular venous pressure does not predict fluid responsiveness in laparoscopic prostatectomy

Abstract

Our study results suggested that SVV and increase in EJVP after applying PEEP were not accurate predictors of fluid responsiveness during RALP. Further studies are required to find an adequate preload index in robot-assisted urologic surgery with steep Trendelenburg position.

Update on the assessment of fluid responsiveness

“…However, excessive fluid volume expansion can be harmful, especially in patients with heart disease. As patients with acute circulatory failure do not usually respond to fluid loading by increasing their CO, numerous studies [1][2][3] have been conducted to develop tests that predict "fluid responsiveness". Although static indices, such as central venous pressure and pulmonary capillary wedge pressure, have been traditionally used for assessing patients' volume status, these indices have poor reliability for identifying fluid responders [4].…”