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The value of pulse pressure and stroke volume variation as predictors of fluid responsiveness during open chest surgery

PIET WYFFELS UGent, P Sergeant and Patrick Wouters UGent (2010) ANAESTHESIA. 65(7). p.704-709
abstract
We investigated the ability of pulse pressure variation and stroke volume variation to predict fluid responsiveness during mechanical ventilation in patients undergoing open chest surgery by comparing their respective correlations with cardiac output changes induced by leg elevation. Serial leg elevation manoeuvres were performed before and after sternotomy in 15 patients scheduled for elective off-pump coronary bypass surgery. Under closed chest conditions, both pulse pressure variation and stroke volume variation correlated well with the induced cardiac output changes (r = 0.856, p = 0.002 and r = 0.897, p = 0.0012, respectively). These correlations were lost for both parameters following sternotomy. Our data show that pulse pressure variation and stroke volume variation are valid predictors of fluid responsiveness under closed chest conditions but that this property no longer holds when the chest is open.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
SEPTIC PATIENTS, CARDIAC-SURGERY, CRITICALLY-ILL, VENTILATION, OF-THE-LITERATURE
journal title
ANAESTHESIA
Anaesthesia
volume
65
issue
7
pages
6 pages
publisher
WILEY-BLACKWELL PUBLISHING, INC
place of publication
MALDEN
Web of Science type
Article
Web of Science id
000278642700011
JCR category
ANESTHESIOLOGY
JCR impact factor
3.008 (2010)
JCR rank
7/26 (2010)
JCR quartile
2 (2010)
ISSN
0003-2409
DOI
10.1111/j.1365-2044.2010.06371.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1006545
handle
http://hdl.handle.net/1854/LU-1006545
date created
2010-07-08 12:38:07
date last changed
2017-01-02 09:56:42
@article{1006545,
  abstract     = {We investigated the ability of pulse pressure variation and stroke volume variation to predict fluid responsiveness during mechanical ventilation in patients undergoing open chest surgery by comparing their respective correlations with cardiac output changes induced by leg elevation. Serial leg elevation manoeuvres were performed before and after sternotomy in 15 patients scheduled for elective off-pump coronary bypass surgery. Under closed chest conditions, both pulse pressure variation and stroke volume variation correlated well with the induced cardiac output changes (r = 0.856, p = 0.002 and r = 0.897, p = 0.0012, respectively). These correlations were lost for both parameters following sternotomy. Our data show that pulse pressure variation and stroke volume variation are valid predictors of fluid responsiveness under closed chest conditions but that this property no longer holds when the chest is open.},
  author       = {WYFFELS, PIET and Sergeant, P and Wouters, Patrick},
  issn         = {0003-2409},
  journal      = {ANAESTHESIA},
  keyword      = {SEPTIC PATIENTS,CARDIAC-SURGERY,CRITICALLY-ILL,VENTILATION,OF-THE-LITERATURE},
  language     = {eng},
  number       = {7},
  pages        = {704--709},
  publisher    = {WILEY-BLACKWELL PUBLISHING, INC},
  title        = {The value of pulse pressure and stroke volume variation as predictors of fluid responsiveness during open chest surgery},
  url          = {http://dx.doi.org/10.1111/j.1365-2044.2010.06371.x},
  volume       = {65},
  year         = {2010},
}

Chicago
WYFFELS, PIET, P Sergeant, and Patrick Wouters. 2010. “The Value of Pulse Pressure and Stroke Volume Variation as Predictors of Fluid Responsiveness During Open Chest Surgery.” Anaesthesia 65 (7): 704–709.
APA
WYFFELS, P., Sergeant, P., & Wouters, P. (2010). The value of pulse pressure and stroke volume variation as predictors of fluid responsiveness during open chest surgery. ANAESTHESIA, 65(7), 704–709.
Vancouver
1.
WYFFELS P, Sergeant P, Wouters P. The value of pulse pressure and stroke volume variation as predictors of fluid responsiveness during open chest surgery. ANAESTHESIA. MALDEN: WILEY-BLACKWELL PUBLISHING, INC; 2010;65(7):704–9.
MLA
WYFFELS, PIET, P Sergeant, and Patrick Wouters. “The Value of Pulse Pressure and Stroke Volume Variation as Predictors of Fluid Responsiveness During Open Chest Surgery.” ANAESTHESIA 65.7 (2010): 704–709. Print.