Cardiothoracic & vascular anesthesia
Stroke Volume and Arterial Pressure Fluid Responsiveness in Patients With Elevated Stroke Volume Variation Undergoing Major Vascular Surgery: A Prospective Intervention Study
Authors' conclusion
The PPV and Edyn showed good accuracy for the prediction of MAP and SV responsiveness in patients with elevated SVV during vascular surgery.
Study context
- Population
- Patients with elevated stroke-volume variation (SVV) (≥13% for >30 seconds) during major vascular surgery, given 250 mL Ringer's lactate within 2 minutes125 fluid interventions
- Participants
- 19 patients
- Exposure
- PPV and Edyn added to SVV for prediction of mean arterial pressure (MAP) and stroke volume (SV) fluid responsiveness
- Outcome
- Prediction of MAP and SV responsiveness
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
| Group | AUC, MAP responsiveness | AUC, SV responsiveness |
|---|---|---|
| PPV | 0.79 | 0.85 |
| Edyn | 0.75 | 0.77 |
AUC, MAP responsiveness
PPV0.79
Edyn0.75
AUC, SV responsiveness
PPV0.85
Edyn0.77
- Fluid interventions MAP-responsive
- 48%
- Fluid interventions SV-responsive
- 66%
Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Stroke Volume and Arterial Pressure Fluid Responsiveness in Patients With Elevated Stroke Volume Variation Undergoing Major Vascular Surgery: A Prospective Intervention Study. J Cardiothorac Vasc Anesth. Published 25 November 2022. doi:10. 1053/ j. jvca. 2022. 11. 028
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