Evaluation of stroke volume variation obtained by arterial pulse contour analysis to predict fluid responsiveness intraoperatively

Abstract

This prospective, interventional observer-blinded study demonstrates that SVV obtained by APCO, using the FloTrac/Vigileo system, is not a reliable predictor of fluid responsiveness in the setting of major abdominal surgery.

Comparison of noninvasive cardiac output measurements using the Nexfin monitoring device and the esophageal Doppler

“…We were not the first to choose this device as an acceptable surrogate for invasive measurements of CO trending. Several authors have already used the esophageal Doppler in studies evaluating the accuracy of a new CO monitor [20,21] and in evaluating fluid responsiveness [22,34]. The main advantage of this device is that it is a Data are means (SD).…”

Evaluation of Stroke Volume Variation Obtained by the FloTrac™/Vigileo™ System to Guide Preoperative Fluid Therapy in Patients Undergoing Brain Surgery

“…Lahner et al 20 considered that SVV measured with the FloTrac™/Vigileo™ system (version 1.07) also did not reliably predict fluid responsiveness in patients undergoing major abdominal surgery. In their study, cardiac output and SV were obtained by transoesophageal echocardiography (CardioQ™; Deltex Medical, Greenville, SC, USA).…”

Extracellular Fluid Accumulation Predicts Fluid Responsiveness after Hydroxyethyl Starch 70/0.5 Bolus Infusion during Major Abdominal Surgery

“…Despite that the mean value of pre-bolus SVV for HES bolus infusions in the present study (13%) falls within this range, HES bolus infusion on average caused only a minimal SVV decrease (0.2%) and SVI increase (0.6%) at the end of fluid infusion. This SVV decrease was much smaller compared to the 3% SVV decrease after a 250 mL bolus infusion of HES 130/0.4 solution during major abdominal surgery in another study [17]. Based on this, we defined fluid responsiveness as an increase in SVI of ≥5%, which is smaller than values usually used (e.g., 10%) [18].…”