Hemodynamics, fluids & transfusion
Reliability of stroke volume or pulse pressure variation as dynamic predictors of fluid responsiveness in laparoscopic surgery: a systematic review
Authors' conclusion
Most individual studies have suggested that SVV and PPV are sufficiently reliable for predicting fluid responsiveness during laparoscopic surgery. However, the limited number of patients, varied apparatus used to define fluid responsiveness, diverse definitions of fluid responsiveness, and different fluids used to perform fluid challenges in the included studies render firm conclusions about SVV's and PPV's reliability impossible.
Study context
- Population
- Patients undergoing laparoscopic surgery7 studies
- Comparison
- Stroke volume variation (SVV) vs PPV
- Outcome
- Reliability of SVV and PPV in predicting fluid responsiveness (AUROC)
Pooled result
As reported in the abstract
AUROC for predicting fluid responsiveness
- SVV AUROC less than 0.8 in 2 studies
- SVV AUROC > 0.8 in 5 studies
- Pooled AUROC for SVV and PPV more than 0.8, high heterogeneity between studies
- High heterogeneities between the included studies
Original publication
Reliability of stroke volume or pulse pressure variation as dynamic predictors of fluid responsiveness in laparoscopic surgery: a systematic review. J Clin Monit Comput. Published 18 November 2022. doi:10.
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