A systematic review of pulse pressure variation and stroke volume variation to predict fluid responsiveness during cardiac and thoracic surgery

2016 ◽  
Vol 31 (4) ◽  
pp. 677-684 ◽  
Author(s):  
Federico Piccioni ◽  
Filippo Bernasconi ◽  
Giulia T. A. Tramontano ◽  
Martin Langer
Keyword(s):  
Systematic Review ◽  
Stroke Volume ◽  
Thoracic Surgery ◽  
Fluid Responsiveness ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Stroke Volume Variation ◽  
Pressure Variation ◽  
Predict Fluid Responsiveness ◽  
Volume Variation

Stroke Volume Variation and Pulse Pressure Variation Are Not Useful for Predicting Fluid Responsiveness in Thoracic Surgery

2017 ◽  
Vol 125 (4) ◽  
pp. 1158-1165 ◽  
Author(s):  
Dae Myoung Jeong ◽  
Hyun Joo Ahn ◽  
Hyo Won Park ◽  
Mikyung Yang ◽  
Jie Ae Kim ◽  
...  
Keyword(s):  
Stroke Volume ◽  
Thoracic Surgery ◽  
Fluid Responsiveness ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Stroke Volume Variation ◽  
Pressure Variation ◽  
Volume Variation

Predicting Fluid Responsiveness Using Change in Pulse Pressure Variation and Stroke Volume Variation after Tidal Volume Challenge in Postoperative Patients Receiving Lung Protective Ventilation

2020 ◽  
Vol 103 (8) ◽  
pp. 729-735
Keyword(s):  
Stroke Volume ◽  
Tidal Volume ◽  
Fluid Responsiveness ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Stroke Volume Variation ◽  
Pressure Variation ◽  
Lung Protective Ventilation ◽  
Predict Fluid Responsiveness ◽  
Volume Variation

Background: Lung protective ventilation with low tidal volume (VT) is beneficial in patients with intermediate to high risk of post-operative pulmonary complications. However, during low VT ventilation, pulse pressure variation (PPV) and stroke volume variation (SVV) do not predict fluid responsiveness. Objective: To determine whether changes in PPV and SVV after transient increases in VT could predict fluid responsiveness. Materials and Methods: The authors recorded 20 measurements from 15 patients experiencing post-operative acute circulatory failure. The authors performed a VT challenge by transient increasing VT from 6 to 8 mL/kg (VT₆-₈), 8 to 10 mL/kg (VT₈-₁₀), and 6 to 10 mL/kg (VT₆-₁₀) of patients’ predicted body weight. The change in PPV (∆PPV) at VT₆-₈ (∆PPV₆-₈), VT₈-₁₀ (∆PPV₈-₁₀), VT₆-₁₀ (∆PPV₆-₁₀), and the change in SVV (∆SVV) at VT₆-₈ (∆SVV₆-₈), VT₈-₁₀ (∆SVV₈-₁₀), and VT₆-₁₀ (∆SVV₆-₁₀) were recorded. Patients were classified as fluid responders if there was an increase in stroke volume of more than 10% after a fluid bolus. Results: Following the VT challenge, ∆PPV and ∆SVV failed to predict fluid responsiveness, with areas under the receiver operating characteristic curves (with 95% confidence intervals) of 0.49 (0.23 to 0.74), 0.54 (0.29 to 0.79), 0.52 (0.28 to 0.77) for ∆PPV₆-₈, ∆PPV₈-₁₀, and ∆PPV₆-₁₀, and 0.55 (0.30 to 0.80), 0.55 (0.31 to 0.80), and 0.59 (0.34 to 0.84) for ∆SVV₆-₈, ∆SVV₈-₁₀, and ∆SVV₆-₁₀, respectively. Conclusion: Changes in PPV and SVV after the VT challenge did not predict fluid responsiveness in post-operative patients with low VT ventilation. Trial registration: Thai Clinical Trials Registry, TCTR 20190808003 Keywords: Pulse pressure variation, Stroke volume variation, Fluid responsiveness, Tidal volume challenge

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