Cited 19 times in
Comparison of positive end-expiratory pressure?induced increase in central venous pressure and passive leg raising to predict fluid responsiveness in patients with atrial fibrillation
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 김남오 | - |
dc.contributor.author | 심재광 | - |
dc.date.accessioned | 2017-02-24T03:32:54Z | - |
dc.date.available | 2017-02-24T03:32:54Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0007-0912 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146372 | - |
dc.description.abstract | BACKGROUND: Positive end-expiratory pressure (PEEP)-induced increase in central venous pressure (CVP) has been suggested to be a robust indicator of fluid responsiveness, with heart rhythm having minimal influence. We compared the ability of PEEP-induced changes in CVP with passive leg raising (PLR)-induced changes in stroke volume index (SVI) in patients with atrial fibrillation after valvular heart surgery. METHODS: In 43 patients with atrial fibrillation after cardiac surgery, PEEP was increased from 0 to 10 cm H2O for 5 min and changes in CVP were assessed. After returning the PEEP to 0 cm H2O, PLR was performed for 5 min and changes in SVI were recorded. Finally, 300 ml of colloid was infused and haemodynamic variables were assessed 5 min after completion of a fluid challenge. Fluid responsiveness was defined as an increase in SVI ≥10% measured by a pulmonary artery catheter. RESULTS: Fifteen (35%) patients were fluid responders. There was no correlation between PEEP-induced increases in CVP and changes in SVI after a fluid challenge (β coefficient -0.052, P=0.740), whereas changes in SVI during PLR showed a significant correlation (β coefficient 0.713, P<0.001). The area under the receiver operating characteristic curve of the PEEP-induced increase in CVP and changes in SVI during PLR for fluid responsiveness was 0.556 [95% confidence interval (CI) 0.358-0.753, P=0.549) and 0.771 (95% CI 0.619-0.924, P=0.004), respectively. CONCLUSIONS: A PEEP-induced increase in CVP did not predict fluid responsiveness in patients with atrial fibrillation after cardiac surgery, but increases in SVI during PLR seem to be a valid predictor of fluid responsiveness in this subset of patients. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.format.extent | 350~356 | - |
dc.publisher | Oxford University Press | - |
dc.relation.isPartOf | BRITISH JOURNAL OF ANAESTHESIA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Atrial Fibrillation/physiopathology* | - |
dc.subject.MESH | Atrial Fibrillation/therapy* | - |
dc.subject.MESH | Cardiac Output/physiology | - |
dc.subject.MESH | Central Venous Pressure/physiology* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fluid Therapy* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Leg* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Positive-Pressure Respiration* | - |
dc.subject.MESH | Posture/physiology* | - |
dc.subject.MESH | ROC Curve | - |
dc.subject.MESH | Stroke Volume/physiology | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Comparison of positive end-expiratory pressure?induced increase in central venous pressure and passive leg raising to predict fluid responsiveness in patients with atrial fibrillation | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | N. Kim | - |
dc.contributor.googleauthor | J.-K. Shim | - |
dc.contributor.googleauthor | H. G. Choi | - |
dc.contributor.googleauthor | M. K. Kim | - |
dc.contributor.googleauthor | J. Y. Kim | - |
dc.contributor.googleauthor | Y.-L. Kwak | - |
dc.identifier.doi | 10.1093/bja/aev359 | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A00356 | - |
dc.contributor.localId | A02205 | - |
dc.relation.journalcode | J00405 | - |
dc.identifier.eissn | 1471-6771 | - |
dc.identifier.pmid | 26577035 | - |
dc.identifier.url | http://bja.oxfordjournals.org/content/116/3/350 | - |
dc.subject.keyword | atrial fibrillation | - |
dc.subject.keyword | central venous pressure | - |
dc.subject.keyword | fluid responsiveness | - |
dc.subject.keyword | passive leg raising | - |
dc.subject.keyword | positive end-expiratory pressure | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Kim, Namo | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Kim, Namo | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.citation.volume | 116 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 350 | - |
dc.citation.endPage | 356 | - |
dc.identifier.bibliographicCitation | BRITISH JOURNAL OF ANAESTHESIA, Vol.116(3) : 350-356, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47880 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.