Document Detail

Non-invasive prediction of fluid responsiveness in infants using pleth variability index.
MedLine Citation:
PMID:  21539529     Owner:  NLM     Status:  Publisher    
This prospective study assessed whether respiratory variations in velocity time integral, peak blood flow velocity and non-invasive pleth variability index are useful measurements in infants undergoing congenital heart surgery and determined threshold values that may help guide fluid administration. In 27 infants receiving mechanical ventilation, of mean (SD) weight 10.4 (6.3) kg, 13 increased their stroke volume index ≥ 15% following a fluid challenge and 14 did not. The best area under the receiver operating characteristic curve was for the echocardiographic-derived variables respiratory variation in blood peak flow velocity (area under the ROC curve = 0.92; p = 0.0002) and respiratory variation of the velocity time integral (area under the ROC curve = 0.84; p = 0.002). The pleth variability index also predicted fluid responsiveness (area under the ROC curve = 0.79; p = 0.01), in contrast to heart rate (area under the ROC curve = 0.53; p = 0.75) and central venous pressure (area under the ROC curve = 0.57; p = 0.52).
J Renner; O Broch; M Gruenewald; J Scheewe; H Francksen; O Jung; M Steinfath; B Bein
Related Documents :
7651439 - Does levodopa therapy delay death in parkinson's disease? a review of the evidence.
12065879 - Distribution of multiple sclerosis in sweden based on mortality and disability compensa...
1357409 - Air pollution and infant mortality in the czech republic, 1986-88.
17768519 - Mortality in the islamic republic of iran, 1964-2004.
1123839 - Infant mortality in macaca mulatta: neonatal and post-neonatal mortality at the califor...
2929859 - The value of continuous 72-hour peritoneal lavage for peritonitis.
16785729 - Primary repair of esophageal atresia in extremely low birth weight infants: a single-ce...
8979179 - Physician opinions of preterm infant outcome and their effect on antenatal corticostero...
14603069 - Evidence for surviving outer hair cell function in congenitally deaf ears.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  Anaesthesia     Volume:  -     ISSN:  1365-2044     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland.
 Associate Professor  Staff Member  Professor of Anaesthesiology and Chair  Professor of Anaesthesiology, Department of Anaesthesiology and Intensive Care Medicine  Associate Professor, Department of Cardiovascular Surgery  Staff Member, Department of Paediatric Cardiology, University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The use of a sound-enabled device to measure pressure during insertion of an epidural catheter in wo...
Next Document:  Intra-operative rewarming with Hot Dog(®) resistive heating and forced-air heating: a trial of lowe...