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41550

Stroke volume variation compared with pulse pressure variation and cardiac index changes for prediction of fluid responsiveness in mechanically ventilated patients

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Critical Care Medicine

Advisors

El-Naggar, Ayman E. , Sulayman, Randa A. , Samir, Sherif M.

Authors

Khalaf, Khalaf Ebrahim

Accessioned

2017-07-12 06:40:28

Available

2017-07-12 06:40:28

type

M.Sc. Thesis

Abstract

Background: Dynamic preload indices have shown better predictive value thanstatic indices. One of these dynamic indices is (manually calculated pulse pressurevariation). In this study, we tested the predictive value of stroke volume variationderived from pulse contour analysis measured by Vigileo /Flo-Trac system incomparison to pulse pressure variation.Methods: Twenty five patients with acute circulatory failure under completevolume control passive ventilation were given 500 ml Hes- steril. Trans-thoracicDoppler echocardiography was used to measure cardiac output before and afterfluid bolus and to divide patients into responders and non responders. Patients whohad an increase in cardiac index ≥ 15% were considered responders.Results: Baseline stroke volume variation ≥ 8.15% was able to predict fluidresponders with a sensitivity 100% and specificity 81.8%. Baseline pulse pressurevariation ≥ 10.2% predicted responders with a sensitivity 92.9% and specificity90.9%. No significant difference was detected between both groups regarding otherhemodynamic variables.Conclusion : Stroke volume variation is able to predict fluid responders with agood sensitivity and specificity.

Issued

1 Jan 2012

DOI

http://dx.doi.org/10.21473/iknito-space/35487

Details

Type

Thesis

Created At

05 Feb 2023