Comparison of pulse pressure and stroke volume variations
measured by three monitors in high-risk surgical patients

J 2024

Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients

CENKOVÁ, Barbora; Miloš CHOBOLA; Vladimír ŠRÁMEK; Michal ŠITINA; Pavel SUK et al.

Základní údaje

Originální název

Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients

Autoři

CENKOVÁ, Barbora; Miloš CHOBOLA; Vladimír ŠRÁMEK; Michal ŠITINA a Pavel SUK

Vydání

HELIYON, CAMBRIDGE, CELL PRESS, 2024, 2405-8440

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30223 Anaesthesiology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.600

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00138848

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1016/j.heliyon.2024.e39760

EID Scopus

2-s2.0-85208672989

Klíčová slova anglicky

Fluid responsiveness; Pulse pressure variation; Stroke volume variation; Hemodynamic monitoring; General surgery; Pulse wave analysis

Štítky

14110122

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 4. 2026 16:53, Mgr. Petra Trembecká, Ph.D.

Anotace

V originále

Introduction Dynamic indices of fluid responsiveness (FR) such as pulse pressure variation (PPV) and stroke volume variation (SVV) differ among hemodynamic monitors, which use proprietary algorithms, and vary even over a short period of time. We aimed to compare the baseline values, fluctuation and predictive value for FR of PPV and SVV measured by three minimally invasive monitors. Patients and methods Twenty patients undergoing high-risk abdominal surgery were included and 45 fluid challenges were analysed. The patients were simultaneously monitored using Carescape B650, LiDCO Rapid and FloTrac/Vigileo system. Cardiac output (CO), PPV and SVV were recorded before and after the fluid challenge of 500 ml of balanced crystalloid solution. An increase in CO ≥ 15 % defined fluid responders. Concurrently recorded arterial waveform was used for offline calculation of PPV. Results Mean baseline values of the indices ranged between 8.6 % and 13.4 %. LiDCO showed higher fluctuation of indices compared to the other monitors. Area under the receiver operating characteristic curve (AUROC) ranged from 0.71 to 0.76 with optimal cut-off value between 7.5 % and 13.9 %. AUROC increased for all indices when FR was defined as an increase in stroke volume. Furthermore, a decrease in PPV or SVV after fluid challenge (ΔPPV, ΔSVV) proved a better marker of FR (AUROC 0.82–0.93) than baseline values with a uniform threshold of approximately −3%. Conclusions Although a significant range of baselines variations and optimal cut-off values was observed, the predictive value of PPV and SVV from all the monitors was only moderate and comparable. Nevertheless, ΔPPV and ΔSVV appear to be a reliable and device-independent markers of FR.

Citovat

CENKOVÁ, Barbora; Miloš CHOBOLA; Vladimír ŠRÁMEK; Michal ŠITINA a Pavel SUK. Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients. HELIYON. CAMBRIDGE: CELL PRESS, 2024, roč. 10, č. 22, s. 1-10. ISSN 2405-8440. Dostupné z: https://doi.org/10.1016/j.heliyon.2024.e39760.

@article{2476617,
   author = {Cenková, Barbora and Chobola, Miloš and Šrámek, Vladimír and Šitina, Michal and Suk, Pavel},
   article_location = {CAMBRIDGE},
   article_number = {22},
   doi = {https://doi.org/10.1016/j.heliyon.2024.e39760},
   keywords = {Fluid responsiveness; Pulse pressure variation; Stroke volume variation; Hemodynamic monitoring; General surgery; Pulse wave analysis},
   language = {eng},
   issn = {2405-8440},
   journal = {HELIYON},
   title = {Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients},
   url = {https://www.sciencedirect.com/science/article/pii/S240584402415791X},
   volume = {10},
   year = {2024}
}

TY  - JOUR
ID  - 2476617
AU  - Cenková, Barbora - Chobola, Miloš - Šrámek, Vladimír - Šitina, Michal - Suk, Pavel
PY  - 2024
TI  - Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients
JF  - HELIYON
VL  - 10
IS  - 22
SP  - 1-10
EP  - 1-10
PB  - CELL PRESS
SN  - 24058440
KW  - Fluid responsiveness
KW  - Pulse pressure variation
KW  - Stroke volume variation
KW  - Hemodynamic monitoring
KW  - General surgery
KW  - Pulse wave analysis
UR  - https://www.sciencedirect.com/science/article/pii/S240584402415791X
N2  - Introduction Dynamic indices of fluid responsiveness (FR) such as pulse pressure variation (PPV) and stroke volume variation (SVV) differ among hemodynamic monitors, which use proprietary algorithms, and vary even over a short period of time. We aimed to compare the baseline values, fluctuation and predictive value for FR of PPV and SVV measured by three minimally invasive monitors. Patients and methods Twenty patients undergoing high-risk abdominal surgery were included and 45 fluid challenges were analysed. The patients were simultaneously monitored using Carescape B650, LiDCO Rapid and FloTrac/Vigileo system. Cardiac output (CO), PPV and SVV were recorded before and after the fluid challenge of 500 ml of balanced crystalloid solution. An increase in CO ≥ 15 % defined fluid responders. Concurrently recorded arterial waveform was used for offline calculation of PPV. Results Mean baseline values of the indices ranged between 8.6 % and 13.4 %. LiDCO showed higher fluctuation of indices compared to the other monitors. Area under the receiver operating characteristic curve (AUROC) ranged from 0.71 to 0.76 with optimal cut-off value between 7.5 % and 13.9 %. AUROC increased for all indices when FR was defined as an increase in stroke volume. Furthermore, a decrease in PPV or SVV after fluid challenge (ΔPPV, ΔSVV) proved a better marker of FR (AUROC 0.82–0.93) than baseline values with a uniform threshold of approximately −3%. Conclusions Although a significant range of baselines variations and optimal cut-off values was observed, the predictive value of PPV and SVV from all the monitors was only moderate and comparable. Nevertheless, ΔPPV and ΔSVV appear to be a reliable and device-independent markers of FR.
ER  -

CENKOVÁ, Barbora; Miloš CHOBOLA; Vladimír ŠRÁMEK; Michal ŠITINA a Pavel SUK. Comparison of pulse pressure and stroke volume variations measured by three monitors in high-risk surgical patients. \textit{HELIYON}. CAMBRIDGE: CELL PRESS, 2024, roč.~10, č.~22, s.~1-10. ISSN~2405-8440. Dostupné z: https://doi.org/10.1016/j.heliyon.2024.e39760.

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