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Pulse pressure variation and pleth variability index as predictors of fluid responsiveness in patients undergoing spinal surgery in the prone position

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dc.contributor.author김도형-
dc.contributor.author김승현-
dc.contributor.author김지영-
dc.contributor.author신서경-
dc.contributor.author조민주-
dc.contributor.author최용선-
dc.date.accessioned2018-08-28T17:26:11Z-
dc.date.available2018-08-28T17:26:11Z-
dc.date.issued2018-
dc.identifier.issn1176-6336-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/162607-
dc.description.abstractBackground: This study investigated the ability of pulse pressure variation (PPV) and pleth variability index (PVI) to predict fluid responsiveness of patients undergoing spinal surgery in the prone position. Patients and methods: A total of 53 patients undergoing posterior lumbar spinal fusion in the prone position on a Jackson table were studied. PPV, PVI, and hemodynamic and respiratory variables were measured both before and after the administration of 6 mL/kg colloid in both the supine and prone positions. Fluid responsiveness was defined as a 15% or greater increase in stroke volume index, as assessed by esophageal Doppler monitor after fluid loading. Results: In the supine position, 40 patients were responders. The areas under the receiver operating characteristic (ROC) curves for PPV and PVI were 0.783 [95% CI 0.648-0.884, P<0.001] and 0.814 (95% CI 0.684-0.908, P<0.001), respectively. The optimal cut-off values of PPV and PVI were 10% (sensitivity 75%, specificity 62%) and 8% (sensitivity 78%, specificity 77%), respectively. In the prone position, 27 patients were responders. The areas under the ROC curves for PPV and PVI were 0.781 (95% CI 0.646-0.883, P<0.001) and 0.756 (95% CI 0.618-0.863, P<0.001), respectively. The optimal cut-off values of PPV and PVI were 7% (sensitivity 82%, specificity 62%) and 8% (sensitivity 67%, specificity 69%), respectively. Conclusion: Both PPV and PVI were able to predict fluid responsiveness; their predictive abilities were maintained in the prone position.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherDove Medical Press-
dc.relation.isPartOfTHERAPEUTICS AND CLINICAL RISK MANAGEMENT-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titlePulse pressure variation and pleth variability index as predictors of fluid responsiveness in patients undergoing spinal surgery in the prone position-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine-
dc.contributor.googleauthorDo-Hyeong Kim-
dc.contributor.googleauthorSeokyung Shin-
dc.contributor.googleauthorJi Young Kim-
dc.contributor.googleauthorSeung Hyun Kim-
dc.contributor.googleauthorMinju Jo-
dc.contributor.googleauthorYong Seon Choi-
dc.identifier.doi10.2147/tcrm.s170395-
dc.contributor.localIdA00390-
dc.contributor.localIdA05098-
dc.contributor.localIdA00977-
dc.contributor.localIdA02109-
dc.contributor.localIdA05518-
dc.contributor.localIdA04119-
dc.relation.journalcodeJ03439-
dc.identifier.eissn1178-203X-
dc.identifier.pmid30013353-
dc.subject.keywordfluid therapy-
dc.subject.keywordintraoperative monitoring-
dc.subject.keywordprone position-
dc.subject.keywordstroke volume-
dc.contributor.alternativeNameKim, Do Hyeong-
dc.contributor.alternativeNameKim, Seung Hyun-
dc.contributor.alternativeNameKim, Ji Young-
dc.contributor.alternativeNameShin, Seo Kyung-
dc.contributor.alternativeNameJo, Minju-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.affiliatedAuthorKim, Do Hyeong-
dc.contributor.affiliatedAuthorKim, Seung Hyun-
dc.contributor.affiliatedAuthorKim, Ji Young-
dc.contributor.affiliatedAuthorShin, Seo Kyung-
dc.contributor.affiliatedAuthorJo, Minju-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.citation.volume14-
dc.citation.startPage1175-
dc.citation.endPage1183-
dc.identifier.bibliographicCitationTHERAPEUTICS AND CLINICAL RISK MANAGEMENT, Vol.14 : 1175-1183, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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