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Prediction of fluid responsiveness in the beach chair position using dynamic preload indices

Authors
 Su Hyun Lee  ;  Yong-Min Chun  ;  Young Jun Oh  ;  Seokyung Shin  ;  Sang Jun Park  ;  Soo Young Kim  ;  Yong Seon Choi 
Citation
 Journal of Clinical Monitoring and Computing, Vol.30(6) : 995-1002, 2016 
Journal Title
 Journal of Clinical Monitoring and Computing 
ISSN
 1387-1307 
Issue Date
2016
MeSH
Aged ; Anesthesia ; Area Under Curve ; Arthroscopy/methods ; Blood Pressure ; Echocardiography/methods ; Female ; Fluid Therapy/methods* ; Heart Rate ; Hemodynamics* ; Humans ; Male ; Middle Aged ; Patient Positioning ; Plethysmography/methods* ; Posture* ; Prospective Studies ; ROC Curve ; Respiration, Artificial ; Sensitivity and Specificity ; Stroke Volume
Keywords
Beach chair position ; Fluid responsiveness ; Pleth variability index ; Pulse pressure variation ; Stroke volume variation
Abstract
Hemodynamic instability in the beach chair position (BCP) may lead to adverse outcomes. Cardiac preload optimization is a prerequisite to improve hemodynamics. We evaluated the clinical usefulness of dynamic indices for the prediction of fluid responsiveness in BCP patients under general anesthesia. Forty-two patients in the BCP under mechanical ventilation received colloids at 6 ml/kg for 10 min. Stroke volume variation (SVV), pulse pressure variation (PPV), pleth variability index (PVI), and hemodynamic data were measured before and after the fluid challenge. Patients were considered responders to volume expansion if the stroke volume index increased by ≥15 %. The areas under receiver operating characteristic curves for SVV, PPV and PVI were 0.83, 0.81 and 0.74, respectively (p < 0.05), with the corresponding optimal cut-off values of 12, 15 and 10 %. SVV, PPV and PVI can be used to predict fluid responsiveness in the BCP under mechanical ventilation.
Full Text
https://link.springer.com/article/10.1007%2Fs10877-015-9821-5
DOI
10.1007/s10877-015-9821-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
김수영(Kim, Soo Young)
박상준(Park, Sang Jun) ORCID logo https://orcid.org/0000-0002-2496-7764
신서경(Shin, Seokyung) ORCID logo https://orcid.org/0000-0002-2641-0070
오영준(Oh, Young Jun) ORCID logo https://orcid.org/0000-0002-6258-5695
이수현(Lee, Su Hyun)
천용민(Chun, Yong Min) ORCID logo https://orcid.org/0000-0002-8147-6136
최용선(Choi, Yong Seon) ORCID logo https://orcid.org/0000-0002-5348-864X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152535
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