Hemodynamics, fluids & transfusion

The haemodynamic effects of pneumoperitoneum on pulse pressure variation – a prospective, observational study

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

PPV derived from a generalised additive model increased approximately 50% from the induction of pneumoperitoneum to an IAP of 12 mmHg.

Study context

Population
Patients undergoing oesophagectomyincluded in final analysis
Participants
34 patients
Exposure
Before vs after induction of pneumoperitoneum
Outcome
PPV derived from a generalised additive model (PPVGAM) with induction of pneumoperitoneum and increase in IAP

Main finding

As reported in the abstract

PPVGAM

PPVGAM increase factor, intra-abdominal pressure (IAP) baseline to 12 mmHg

1.49

95% CI 1.25–1.77

Observational data: associations, not effects.

Further findings

Stroke volume variation (SVV) (HemoSphere monitor)

Increase factor
1.25 (95% CI 1.13-1.39, p < 0.001)

PPV (HemoSphere monitor)

Increase factor
1.14 (95% CI 1.00-1.29, p = 0.048)

Original publication

The haemodynamic effects of pneumoperitoneum on pulse pressure variation – a prospective, observational study. J Clin Monit Comput. Published 5 May 2025. doi:10.1007/s10877-025-01300-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

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