Cited 57 times in
Respirophasic carotid artery peak velocity variation as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 송영 | - |
dc.contributor.author | 송종욱 | - |
dc.contributor.author | 심재광 | - |
dc.contributor.author | 곽영란 | - |
dc.date.accessioned | 2015-01-06T16:52:10Z | - |
dc.date.available | 2015-01-06T16:52:10Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0007-0912 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98926 | - |
dc.description.abstract | BACKGROUND: We studied respirophasic variation in carotid artery blood flow peak velocity (ΔVpeak-CA) measured by pulsed wave Doppler ultrasound as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease. METHODS: Forty patients undergoing elective coronary artery bypass surgery were enrolled. Subjects were classified as responders if stroke volume index (SVI) increased ≥15% after volume expansion (6 ml kg(-1)). The ΔVpeak-CA was calculated as the difference between the maximum and minimum values of peak velocity over a single respiratory cycle, divided by the average. Central venous pressure, pulmonary artery occlusion pressure, pulse pressure variation (PPV), and ΔVpeak-CA were recorded before and after volume expansion. RESULTS: PPV and ΔVpeak-CA correlated significantly with an increase in SVI after volume expansion. Area under the receiver-operator characteristic curve (AUROC) of PPV and ΔVpeak-CA were 0.75 [95% confidence interval (CI) 0.59-0.90] and 0.85 (95% CI 0.72-0.97). The optimal cut-off values for fluid responsiveness of PPV and ΔVpeak-CA were 13% (sensitivity and specificity of 0.74 and 0.71) and 11% (sensitivity and specificity of 0.85 and 0.82), respectively. In a subgroup analysis of 17 subjects having pulse pressure hypertension (≥ 60 mm Hg), PPV failed to predict fluid responsiveness (AUROC 0.70, P=0.163), whereas the predictability of ΔVpeak-CA remained unchanged (AUROC 0.90, P=0.006). CONCLUSIONS: Doppler assessment of respirophasic ΔVpeak-CA seems to be a highly feasible and reliable method to predict fluid responsiveness in mechanically ventilated patients undergoing coronary revascularization. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 61~66 | - |
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 | Anesthesia, General/methods | - |
dc.subject.MESH | Blood Flow Velocity/physiology | - |
dc.subject.MESH | Blood Pressure/physiology | - |
dc.subject.MESH | Carotid Arteries/diagnostic imaging | - |
dc.subject.MESH | Carotid Arteries/physiopathology* | - |
dc.subject.MESH | Coronary Artery Bypass | - |
dc.subject.MESH | Coronary Artery Disease/physiopathology | - |
dc.subject.MESH | Coronary Artery Disease/surgery | - |
dc.subject.MESH | Coronary Artery Disease/therapy* | - |
dc.subject.MESH | Feasibility Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fluid Therapy/methods* | - |
dc.subject.MESH | Hemodynamics/physiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Monitoring, Intraoperative/methods* | - |
dc.subject.MESH | Respiration, Artificial/methods* | - |
dc.subject.MESH | Respiratory Rate/physiology | - |
dc.subject.MESH | Ultrasonography, Doppler, Pulsed/methods | - |
dc.title | Respirophasic carotid artery peak velocity variation as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Y. Song | - |
dc.contributor.googleauthor | Y. L. Kwak | - |
dc.contributor.googleauthor | J. W. Song | - |
dc.contributor.googleauthor | Y. J. Kim | - |
dc.contributor.googleauthor | J. K. Shim | - |
dc.identifier.doi | 10.1093/bja/aeu057 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02205 | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A02036 | - |
dc.contributor.localId | A02060 | - |
dc.relation.journalcode | J00405 | - |
dc.identifier.eissn | 1471-6771 | - |
dc.identifier.pmid | 24722322 | - |
dc.identifier.url | http://bja.oxfordjournals.org/content/113/1/61.long | - |
dc.subject.keyword | Doppler ultrasound | - |
dc.subject.keyword | blood flow velocity | - |
dc.subject.keyword | carotid artery | - |
dc.subject.keyword | fluid therapy | - |
dc.subject.keyword | mechanical ventilation | - |
dc.contributor.alternativeName | Song, Young | - |
dc.contributor.alternativeName | Song, Jong Wook | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Song, Young | - |
dc.contributor.affiliatedAuthor | Song, Jong Wook | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 113 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 61 | - |
dc.citation.endPage | 66 | - |
dc.identifier.bibliographicCitation | BRITISH JOURNAL OF ANAESTHESIA, Vol.113(1) : 61-66, 2014 | - |
dc.identifier.rimsid | 53785 | - |
dc.type.rims | ART | - |
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