scholarly journals Carotid ultrasound measurements for assessing fluid responsiveness in spontaneously breathing patients: corrected flow time and respirophasic variation in blood flow peak velocity

2018 ◽  
Vol 121 (3) ◽  
pp. 541-549 ◽  
Author(s):  
D.-H. Kim ◽  
S. Shin ◽  
N. Kim ◽  
T. Choi ◽  
S.H. Choi ◽  
...  
2018 ◽  
Vol 46 (11) ◽  
pp. e1040-e1046 ◽  
Author(s):  
Igor Barjaktarevic ◽  
William E. Toppen ◽  
Scott Hu ◽  
Elizabeth Aquije Montoya ◽  
Stephanie Ong ◽  
...  

2021 ◽  
Vol 10 (12) ◽  
pp. 2676
Author(s):  
Seungho Jung ◽  
Jeongmin Kim ◽  
Sungwon Na ◽  
Won Seok Nam ◽  
Do-Hyeong Kim

Predicting fluid responsiveness in patients under mechanical ventilation with low tidal volume (VT) is challenging. This study evaluated the ability of carotid corrected flow time (FTc) assessed by ultrasound for predicting the fluid responsiveness during low VT ventilation. Patients under postoperative mechanical ventilation and clinically diagnosed with hypovolemia were enrolled. Carotid FTc and pulse pressure variation (PPV) were measured at VT of 6 and 10 mL/kg predicted body weight (PBW). FTc was calculated using both Bazett’s (FTcB) and Wodey’s (FTcW) formulas. Fluid responsiveness was defined as a ≥15% increase in the stroke volume index assessed by FloTrac/Vigileo monitor after administration of 8 mL/kg of balanced crystalloid. Among 36 patients, 16 (44.4%) were fluid responders. The areas under the receiver operating characteristic curves (AUROCs) for the FTcB at VT of 6 and 10 mL/kg PBW were 0.897 (95% confidence interval [95% CI]: 0.750–0.973) and 0.895 (95% CI: 0.748–0.972), respectively. The AUROCs for the FTcW at VT of 6 and 10 mL/kg PBW were 0.875 (95% CI: 0.722–0.961) and 0.891 (95% CI: 0.744–0.970), respectively. However, PPV at VT of 6 mL/kg PBW (AUROC: 0.714, 95% CI: 0.539–0.852) showed significantly lower accuracy than that of PPV at VT of 10 mL/kg PBW (AUROC: 0.867, 95% CI: 0.712–0.957; p = 0.034). Carotid FTc can predict fluid responsiveness better than PPV during low VT ventilation. However, further studies using automated continuous monitoring system are needed before its clinical use.


2007 ◽  
Vol 99 (3) ◽  
pp. 343-348 ◽  
Author(s):  
J-H. Lee ◽  
J-T. Kim ◽  
S.Z. Yoon ◽  
Y-J. Lim ◽  
Y. Jeon ◽  
...  

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