Stroke volume variation as a predictor of fluid responsiveness in patients undergoing one-lung ventilation

Journal of Cardiothoracic and Vascular Anesthesia
Koichi Suehiro, Ryu Okutani

Abstract

To investigate the ability of stroke volume variation (SVV) calculated by the Vigileo-FloTrac system (Edwards Lifescience, Irvine, CA) to predict fluid responsiveness in patients undergoing one-lung ventilation (OLV). Prospective, observational study. Clinical hospital. Thirty patients scheduled for a pulmonary lobectomy requiring OLV for at least 1 hour under combined epidural/general anesthesia. After starting OLV, hydroxyethyl starch, 500 mL, was administered for 30 minutes. Hemodynamic variables including heart rate, mean arterial pressure, cardiac index, stroke volume index (SVI), and SVV were measured before and after volume loading. SVV before volume loading was significantly correlated with the absolute changes in SVV (ΔSVV) and percentage changes in stroke volume index (ΔSVI) after volume loading (ΔSVV: p < 0.05, r = -0.893; ΔSVI: p < 0.05, r = 0.866). Of the 30 patients, 15 (50%) were responders to intravascular volume expansion (an increase in SVI ≥ 25%), and 15 (50%) were nonresponders (an increase in SVI <25%). The area under the ROC curve was 0.900 for SVV (95% confidence interval, 0.809-0.991), whereas the optimal threshold value of SVV to discriminate between responders and nonresponders was 10.5% (sensitivity: ...Continue Reading

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Citations

Jul 22, 2011·Anesthesiology Research and Practice·Allison J LeeJ Sudharma Ranasinghe
Jun 12, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Thomas G V CherpanathBart F Geerts
Aug 27, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Constantin J C TrepteDaniel A Reuter
Jan 29, 2013·Best Practice & Research. Clinical Anaesthesiology·Matthew E Cove, Michael R Pinsky
Mar 11, 2016·Journal of Anesthesia·Koichi SuehiroKiyonobu Nishikawa
Nov 6, 2012·Anaesthesia·N L JonesA A Klein
Jul 17, 2015·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Santhalakshmi AngappanAshok Shankar Badhe
May 31, 2013·Seminars in Cardiothoracic and Vascular Anesthesia·Edmond Hung Leong Chau, Peter Slinger
Jun 26, 2017·Journal of Clinical Monitoring and Computing·Takashi JuriKiyonobu Nishikawa
Oct 10, 2018·Anesthesia and Analgesia·Antonio MessinaPaolo Navalesi
Dec 7, 2018·Current Opinion in Anaesthesiology·Emily G TeeterWanda M Popescu
Nov 19, 2010·Current Opinion in Anaesthesiology·Seiji Ishikawa, Jens Lohser
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Nov 16, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Paola AcetoLiliana Sollazzi
Feb 16, 2011·Current Opinion in Anaesthesiology

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