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Feissel, M.; Teboul, Jean‐Louis; Cariou, Alain; Mangin, I; Darfin, S; Ruyer, O.; Jp, Faller

doi:10.1186/cc1655

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Pleth Variability Index (Pvi) In Goal-directed Fluid Therapy1

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2023

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“…PVi is calculated by measuring perfusion index (PI) alterations during the respiratory cycle, which is described as the percentage of light absorbed as a result of sponsive, it will be vice versa. Marc et al first described this parameter in 2001, where he reported that ΔVpeak of 12% has a sensitivity of 100% and a specificity of 89% to distinguish fluid responders from non-responders in adults [60].…”

Section: Pleth Variability Index (Pvi) In Goal-directed Fluid Therapymentioning

confidence: 99%

Current Commonly Used Dynamic Parameters and Monitoring Systems for Perioperative Goal-Directed Fluid Therapy: A Review

Kan¹,

Skaggs²

2023

Yale J Biol Med

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Goal-directed fluid therapy (GDFT) is usually recommended in patients undergoing major surgery and is essential in enhanced recovery after surgery (ERAS) protocols. This fluid regimen is usually guided by dynamic hemodynamic parameters and aims to optimize patients' cardiac output to maximize oxygen delivery to their vital organs. While many studies have shown that GDFT benefits patients perioperatively and can decrease postoperative complications, there is no consensus on which dynamic hemodynamic parameters to guide GDFT with. Furthermore, there are many commercialized hemodynamic monitoring systems to measure these dynamic hemodynamic parameters, and each has its pros and cons. This review will discuss and review the commonly used GDFT dynamic hemodynamic parameters and hemodynamic monitoring systems.

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Section: Pleth Variability Index (Pvi) In Goal-directed Fluid Therapymentioning

confidence: 99%