Validity of pulse pressure and systolic blood pressure variation data obtained from a Datex Ohmeda S/5 monitor for predicting fluid responsiveness during surgery

Journal of Neurosurgical Anesthesiology
Hui QiaoWei-min Liang

Abstract

A simple, inexpensive method is needed for predicting fluid responsiveness in patients during surgery. A previously described method using the Datex Ohmeda S/5 monitor to record arterial and pulse pressure might be accurate enough to use for this purpose. In this study, 26 patients undergoing scheduled craniotomy surgery, we compared measurement of systolic pressure variation (SPV) (measured as both mm Hg and %) and pulse pressure variation (PPV%) using the Ohmeda monitor method to simultaneously measurement of a reference standard, stroke volume variation (SVV) determined with an Edwards FloTrac/Vigileo monitor, during volume loading. Variation in systolic pressure, pulse pressure, and stroke volume all decreased proportionally as fluid volume increased. The 3 test parameters, SPV (%), SPV (mm Hg), and PPV (%) were highly correlated to SVV, the reference standard. Bland-Altman plots comparing SPV (%) and PPV with SVV showed agreement with this standard. Receiver operating characteristic curves showed no significant difference between the 3 test parameters for predicting the vascular response to fluid infusion. There were no significant differences between SPV and PPV estimation using the Ohmeda monitor method and the reference...Continue Reading

References

Mar 2, 1999·American Journal of Respiratory and Critical Care Medicine·F MichardJ L Teboul
Jul 21, 2000·American Journal of Respiratory and Critical Care Medicine·F MichardJ L Teboul
Feb 13, 2003·Journal of Clinical Monitoring and Computing·L A Critchley, J A Critchley
Dec 6, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jihad MallatBenoît Tavernier
Oct 7, 2004·British Journal of Anaesthesia·S RexW Buhre
May 28, 2005·Anesthesia and Analgesia·Glauber Gouvêa, Fabiano Gomes Gouvêa
Oct 24, 2006·Anesthesia and Analgesia·Giuseppe NataliniAchille Bernardini
Nov 15, 2006·Journal of Clinical Monitoring and Computing·Henry TranJ Mark Ansermino
Sep 1, 2007·Current Opinion in Critical Care·Xavier Monnet, Jean-Louis Teboul
Sep 8, 2007·Critical Care : the Official Journal of the Critical Care Forum·Marcel R LopesFrédéric Michard
Apr 23, 2008·Intensive Care Medicine·Jens C KubitzDaniel A Reuter
Mar 20, 2009·Journal of Neurosurgical Anesthesiology·Padmaja DurgaGopinath Ramachandran
Apr 30, 2009·European Journal of Anaesthesiology·Samir G SakkaNicole van Hout

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Citations

Mar 11, 2011·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak, William L Lanier
Jun 19, 2012·Journal of Veterinary Emergency and Critical Care·C Langdon Fielding, Diana N Stolba
Jul 6, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Hiren MehtaSangita Trivedi

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