Examination of the Usefulness of Non-Invasive Stroke Volume Variation Monitoring for Adjusting Fluid Supplementation During Laparoscopic Adrenalectomy in Patients With Pheochromocytoma

Isosu, Tsuyoshi; Obara, Shinju; Ohashi, Satoshi; Hosono, Atsuyuki; Nakano, Yuko; Imaizumi, Tsuyoshi; Mogami, Midori; Iida, Hiroshi; Murakawa, Masahiro

doi:10.5387/fms.58.78

Cited by 11 publications

(11 citation statements)

References 6 publications

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“…However, a case series of laparoscopic adrenalectomies in patients with pheochromocytoma demonstrated that both total infusion volume and urine output were significantly higher in the control group compared to the SVV-guided group (29). Total blood loss was similar between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Goal-directed fluid optimization based on stroke volume variation and cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study

Zhang¹,

Chen²,

Lei³

et al. 2013

Clinics

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OBJECTIVES:This pilot study was designed to utilize stroke volume variation and cardiac index to ensure fluid optimization during one-lung ventilation in patients undergoing thoracoscopic lobectomies.METHODS:Eighty patients undergoing thoracoscopic lobectomy were randomized into either a goal-directed therapy group or a control group. In the goal-directed therapy group, the stroke volume variation was controlled at 10%±1%, and the cardiac index was controlled at a minimum of 2.5 L.min-1.m-2. In the control group, the MAP was maintained at between 65 mm Hg and 90 mm Hg, heart rate was maintained at between 60 BPM and 100 BPM, and urinary output was greater than 0.5 mL/kg-1/h-1. The hemodynamic variables, arterial blood gas analyses, total administered fluid volume and side effects were recorded.RESULTS:The PaO2/FiO2-ratio before the end of one-lung ventilation in the goal-directed therapy group was significantly higher than that of the control group, but there were no differences between the goal-directed therapy group and the control group for the PaO2/FiO2-ratio or other arterial blood gas analysis indices prior to anesthesia. The extubation time was significantly earlier in the goal-directed therapy group, but there was no difference in the length of hospital stay. Patients in the control group had greater urine volumes, and they were given greater colloid and overall fluid volumes. Nausea and vomiting were significantly reduced in the goal-directed therapy group.CONCLUSION:The results of this study demonstrated that an optimization protocol, based on stroke volume variation and cardiac index obtained with a FloTrac/Vigileo device, increased the PaO2/FiO2-ratio and reduced the overall fluid volume, intubation time and postoperative complications (nausea and vomiting) in thoracic surgery patients requiring one-lung ventilation.

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Section: Discussionmentioning

confidence: 99%

Goal-directed fluid optimization based on stroke volume variation and cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study

Zhang¹,

Chen²,

Lei³

et al. 2013

Clinics

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“…Moreover, the FloTrac system is useful for regulating the infusion volume. Isosu et al, have suggested that SVV measurement is useful for estimating the optional volume for fluid supplementation and may prevent excessive fluid infusion during surgical procedures, such as laparoscopic adrenalectomy in patients with pheochromocytoma (3). The recent report also reports the usefulness of fluid adjustment using Flotrac in many cancer surgery (4)(5)(6).…”

mentioning

confidence: 99%

Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients

Sohda

Kuriyama

Kumakura

et al. 2019

In Vivo

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Background/Aim: Esophagectomy is more invasive compared to other gastrointestinal surgery types. Perioperative circulatory management is important to avoid postoperative heart complications. The FloTrac sensor along with the Vigileo monitor is a minimally invasive haemodynamic monitoring device. Here, we examined different surgical procedures affecting hemodynamics using the FloTrac system in esophageal cancer patients following esophagectomy. Patients and Methods: Thirty-one patients undergoing postoperative monitoring with the FloTrac sensor/Vigileo monitor system following esophagectomy were included. Evaluation of cardiac index (CI) and stroke volume variation (SVV) measurements were performed by analyzing the number of aberrant values. We evaluated the correlation between the number of aberrant values of CI, SVV and surgical methods of esophagectomy and perioperative factors. Results: There was no significant correlation between the number of aberrant values of CI, SVV and operative approach or fields of lymphadenectomy. Regarding the reconstruction route following esophagectomy, there was a significant correlation between the number of aberrant values of CI, SVV and retrosternal route compared with other routes. There was a significant correlation between the number of aberrant values of SVV and preoperative heart complication. Conclusion: Hemodynamic stability management using FloTrac/Vigileo system following esophagectomy is useful for safe performance of postoperative management of esophageal cancer patients.

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“…The value of SVV is nevertheless reliable even when the circulating plasma volume is diminished [11], as it is based on the magnitude of respiratory fluctuation of arterial pressure. In our case, SVV occasionally fluttered in the first half of the surgery, but its course was largely consistent with that of ABP when the right adrenal gland vessels were being operated.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative hemodynamics monitoring in a patient with pheochromocytoma multisystem crisis: a case report

et al. 2018

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Background: Pheochromocytoma is a rare catecholamine-secreting tumor. To evaluate the intraoperative hemodynamics with precision is difficult. Case presentation: A 42-year-old man, who suddenly developed a life-threatening pheochromocytoma multisystem crisis that occurred during preoperative prophylactic medication, underwent urgent bilateral adrenalectomy. For the purpose of evaluating the intraoperative hemodynamics, we monitored both pulmonary artery catheter-based cardiac output (PACO) and arterial pressure-based cardiac output (APCO; FloTrac™). APCO fluctuated in poor agreement with the change in PACO, especially in the state of cytokine storming. Conclusions: Overall, the value of stroke volume variation derived from FloTrac™ changed in tandem with the intraoperative volume status, indicating its utility as a marker of circulatory hemodynamics.

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Examination of the Usefulness of Non-Invasive Stroke Volume Variation Monitoring for Adjusting Fluid Supplementation During Laparoscopic Adrenalectomy in Patients With Pheochromocytoma

Cited by 11 publications

References 6 publications

Goal-directed fluid optimization based on stroke volume variation and cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study

Goal-directed fluid optimization based on stroke volume variation and cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study

Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients

Intraoperative hemodynamics monitoring in a patient with pheochromocytoma multisystem crisis: a case report

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