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Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload

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Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload. / Trepte, Constantin J C; Haas, Sebastian A; Nitzschke, Rainer; Salzwedel, Cornelie; Goetz, Alwin E; Reuter, Daniel A.

in: J CARDIOTHOR VASC AN, Jahrgang 27, Nr. 6, 01.12.2013, S. 1094-100.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Trepte, CJC, Haas, SA, Nitzschke, R, Salzwedel, C, Goetz, AE & Reuter, DA 2013, 'Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload', J CARDIOTHOR VASC AN, Jg. 27, Nr. 6, S. 1094-100. https://doi.org/10.1053/j.jvca.2013.05.003

APA

Trepte, C. J. C., Haas, S. A., Nitzschke, R., Salzwedel, C., Goetz, A. E., & Reuter, D. A. (2013). Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload. J CARDIOTHOR VASC AN, 27(6), 1094-100. https://doi.org/10.1053/j.jvca.2013.05.003

Vancouver

Trepte CJC, Haas SA, Nitzschke R, Salzwedel C, Goetz AE, Reuter DA. Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload. J CARDIOTHOR VASC AN. 2013 Dez 1;27(6):1094-100. https://doi.org/10.1053/j.jvca.2013.05.003

Bibtex

@article{87ecf2de176146098d296a73437600df,
title = "Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload",
abstract = "OBJECTIVES: The aim of this study was to evaluate the ability of static, volumetric, and dynamic parameters of cardiac preload to predict volume responsiveness during one-lung ventilation (OLV).DESIGN: Prospective experimental study.SETTING: Laboratory of the animal facility of the University Medical Center Hamburg-Eppendorf.PARTICIPANTS: Twenty-three German domestic pigs.INTERVENTIONS: Hypovolemia was induced by withdrawing 20 mL/kg body weight (BW) of blood. OLV was established, and the volume withdrawn was re-transfused in 3 volume-loading steps, each consisting of 7 mL/kg BW. An ultrasonic flow probe around the pulmonary artery was used to measure the stroke-volume index (SVI) and to evaluate the volume response. An increase in the SVI of ≥ 15% was considered a positive response. For each measurement time point, central venous pressure (CVP), left atrial pressure (LAP), the global end-diastolic volume index (GEDI), stroke-volume variation (SVV), and pulse-pressure variation (PPV) were recorded. The ability to predict volume responsiveness was assessed using ROC analysis.MEASUREMENTS AND MAIN RESULTS: A total of 69 volume loading steps were performed, 48 of which showed a positive volume response. ROC analysis revealed the following area under the curve (AUC) values: CVP, 0.88; LAP, 0.65; GEDI, 0.75; SVV, 0.78; and PPV, 0.83. A comparison of the areas under the ROC curves did not reveal any statistically significant differences (p>0.05), with the exception of LAP compared with CVP (p = 0.005).CONCLUSIONS: Under these OLV experimental conditions, the volumetric and dynamic parameters of preload, as well as CVP, seemed to be of similar value in predicting volume responsiveness.",
author = "Trepte, {Constantin J C} and Haas, {Sebastian A} and Rainer Nitzschke and Cornelie Salzwedel and Goetz, {Alwin E} and Reuter, {Daniel A}",
note = "{\textcopyright} 2013 Elsevier Inc. All rights reserved.",
year = "2013",
month = dec,
day = "1",
doi = "10.1053/j.jvca.2013.05.003",
language = "English",
volume = "27",
pages = "1094--100",
journal = "J CARDIOTHOR VASC AN",
issn = "1053-0770",
publisher = "W.B. Saunders Ltd",
number = "6",

}

RIS

TY - JOUR

T1 - Prediction of volume-responsiveness during one-lung ventilation: a comparison of static, volumetric, and dynamic parameters of cardiac preload

AU - Trepte, Constantin J C

AU - Haas, Sebastian A

AU - Nitzschke, Rainer

AU - Salzwedel, Cornelie

AU - Goetz, Alwin E

AU - Reuter, Daniel A

N1 - © 2013 Elsevier Inc. All rights reserved.

PY - 2013/12/1

Y1 - 2013/12/1

N2 - OBJECTIVES: The aim of this study was to evaluate the ability of static, volumetric, and dynamic parameters of cardiac preload to predict volume responsiveness during one-lung ventilation (OLV).DESIGN: Prospective experimental study.SETTING: Laboratory of the animal facility of the University Medical Center Hamburg-Eppendorf.PARTICIPANTS: Twenty-three German domestic pigs.INTERVENTIONS: Hypovolemia was induced by withdrawing 20 mL/kg body weight (BW) of blood. OLV was established, and the volume withdrawn was re-transfused in 3 volume-loading steps, each consisting of 7 mL/kg BW. An ultrasonic flow probe around the pulmonary artery was used to measure the stroke-volume index (SVI) and to evaluate the volume response. An increase in the SVI of ≥ 15% was considered a positive response. For each measurement time point, central venous pressure (CVP), left atrial pressure (LAP), the global end-diastolic volume index (GEDI), stroke-volume variation (SVV), and pulse-pressure variation (PPV) were recorded. The ability to predict volume responsiveness was assessed using ROC analysis.MEASUREMENTS AND MAIN RESULTS: A total of 69 volume loading steps were performed, 48 of which showed a positive volume response. ROC analysis revealed the following area under the curve (AUC) values: CVP, 0.88; LAP, 0.65; GEDI, 0.75; SVV, 0.78; and PPV, 0.83. A comparison of the areas under the ROC curves did not reveal any statistically significant differences (p>0.05), with the exception of LAP compared with CVP (p = 0.005).CONCLUSIONS: Under these OLV experimental conditions, the volumetric and dynamic parameters of preload, as well as CVP, seemed to be of similar value in predicting volume responsiveness.

AB - OBJECTIVES: The aim of this study was to evaluate the ability of static, volumetric, and dynamic parameters of cardiac preload to predict volume responsiveness during one-lung ventilation (OLV).DESIGN: Prospective experimental study.SETTING: Laboratory of the animal facility of the University Medical Center Hamburg-Eppendorf.PARTICIPANTS: Twenty-three German domestic pigs.INTERVENTIONS: Hypovolemia was induced by withdrawing 20 mL/kg body weight (BW) of blood. OLV was established, and the volume withdrawn was re-transfused in 3 volume-loading steps, each consisting of 7 mL/kg BW. An ultrasonic flow probe around the pulmonary artery was used to measure the stroke-volume index (SVI) and to evaluate the volume response. An increase in the SVI of ≥ 15% was considered a positive response. For each measurement time point, central venous pressure (CVP), left atrial pressure (LAP), the global end-diastolic volume index (GEDI), stroke-volume variation (SVV), and pulse-pressure variation (PPV) were recorded. The ability to predict volume responsiveness was assessed using ROC analysis.MEASUREMENTS AND MAIN RESULTS: A total of 69 volume loading steps were performed, 48 of which showed a positive volume response. ROC analysis revealed the following area under the curve (AUC) values: CVP, 0.88; LAP, 0.65; GEDI, 0.75; SVV, 0.78; and PPV, 0.83. A comparison of the areas under the ROC curves did not reveal any statistically significant differences (p>0.05), with the exception of LAP compared with CVP (p = 0.005).CONCLUSIONS: Under these OLV experimental conditions, the volumetric and dynamic parameters of preload, as well as CVP, seemed to be of similar value in predicting volume responsiveness.

U2 - 10.1053/j.jvca.2013.05.003

DO - 10.1053/j.jvca.2013.05.003

M3 - SCORING: Journal article

C2 - 23972740

VL - 27

SP - 1094

EP - 1100

JO - J CARDIOTHOR VASC AN

JF - J CARDIOTHOR VASC AN

SN - 1053-0770

IS - 6

ER -