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Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study

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Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study. / Mair, Sebastian; Tschirdewahn, Julia; Götz, Simon; Frank, Johanna; Phillip, Veit; Henschel, Benedikt; Schultheiss, Caroline; Mayr, Ulrich; Noe, Sebastian; Treiber, Matthias; Schmid, Roland M; Saugel, Bernd; Huber, Wolfgang.

In: J CLIN MONIT COMPUT, Vol. 31, No. 6, 12.2017, p. 1177-1187.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Mair, S, Tschirdewahn, J, Götz, S, Frank, J, Phillip, V, Henschel, B, Schultheiss, C, Mayr, U, Noe, S, Treiber, M, Schmid, RM, Saugel, B & Huber, W 2017, 'Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study', J CLIN MONIT COMPUT, vol. 31, no. 6, pp. 1177-1187. https://doi.org/10.1007/s10877-016-9951-4

APA

Mair, S., Tschirdewahn, J., Götz, S., Frank, J., Phillip, V., Henschel, B., Schultheiss, C., Mayr, U., Noe, S., Treiber, M., Schmid, R. M., Saugel, B., & Huber, W. (2017). Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study. J CLIN MONIT COMPUT, 31(6), 1177-1187. https://doi.org/10.1007/s10877-016-9951-4

Vancouver

Mair S, Tschirdewahn J, Götz S, Frank J, Phillip V, Henschel B et al. Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study. J CLIN MONIT COMPUT. 2017 Dec;31(6):1177-1187. https://doi.org/10.1007/s10877-016-9951-4

Bibtex

@article{72fadb3623224dd99adcf558a8ab0963,
title = "Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study",
abstract = "Sinus rhythm (SR) and controlled mechanical ventilation (CV) are mandatory for the applicability of respiratory changes of the arterial curve such as stroke volume variation (SVV) to predict fluid-responsiveness. Furthermore, several secondary limitations including tidal volumes <8 mL/kg and SVV-values within the {"}gray zone{"} of 9-13% impair prediction of fluid-responsiveness by SVV. Therefore, we investigated the prevalence of these four conditions in general ICU-patients. This longitudinal observational study analyzed a prospectively maintained haemodynamic database including 4801 transpulmonary thermodilution and pulse contour analysis measurements of 278 patients (APACHE-II 21.0 ± 7.4). The main underlying diseases were cirrhosis (32%), sepsis (28%), and ARDS (17%). The prevalence of SR and CV was only 19.4% (54/278) in the first measurements (primary endpoint), 18.8% (902/4801) in all measurements and 26.5% (9/34) in measurements with MAP < 65 mmHg and CI < 2.5 L/min/m(2) and vasopressor therapy. In 69.1% (192/278) of the first measurements and in 65.9% (3165/4801) of all measurements the patients had SR but did not have CV. In 1.8% (5/278) of the first measurements and in 2.5% (119/4801) of all measurements the patients had CV but lacked SR. In 9.7% (27/278) of the first measurements and in 12.8% (615/4801) of all measurements the patients did neither have SR nor CV. Only 20 of 278 (7.2%) of the first measurements and 8.2% of all measurements fulfilled both major criteria (CV, SR) and both minor criteria for the applicability of SVV. The applicability of SVV in ICU-patients is limited due to the absence of mandatory criteria during the majority of measurements.",
author = "Sebastian Mair and Julia Tschirdewahn and Simon G{\"o}tz and Johanna Frank and Veit Phillip and Benedikt Henschel and Caroline Schultheiss and Ulrich Mayr and Sebastian Noe and Matthias Treiber and Schmid, {Roland M} and Bernd Saugel and Wolfgang Huber",
year = "2017",
month = dec,
doi = "10.1007/s10877-016-9951-4",
language = "English",
volume = "31",
pages = "1177--1187",
journal = "J CLIN MONIT COMPUT",
issn = "1387-1307",
publisher = "Springer Netherlands",
number = "6",

}

RIS

TY - JOUR

T1 - Applicability of stroke volume variation in patients of a general intensive care unit: a longitudinal observational study

AU - Mair, Sebastian

AU - Tschirdewahn, Julia

AU - Götz, Simon

AU - Frank, Johanna

AU - Phillip, Veit

AU - Henschel, Benedikt

AU - Schultheiss, Caroline

AU - Mayr, Ulrich

AU - Noe, Sebastian

AU - Treiber, Matthias

AU - Schmid, Roland M

AU - Saugel, Bernd

AU - Huber, Wolfgang

PY - 2017/12

Y1 - 2017/12

N2 - Sinus rhythm (SR) and controlled mechanical ventilation (CV) are mandatory for the applicability of respiratory changes of the arterial curve such as stroke volume variation (SVV) to predict fluid-responsiveness. Furthermore, several secondary limitations including tidal volumes <8 mL/kg and SVV-values within the "gray zone" of 9-13% impair prediction of fluid-responsiveness by SVV. Therefore, we investigated the prevalence of these four conditions in general ICU-patients. This longitudinal observational study analyzed a prospectively maintained haemodynamic database including 4801 transpulmonary thermodilution and pulse contour analysis measurements of 278 patients (APACHE-II 21.0 ± 7.4). The main underlying diseases were cirrhosis (32%), sepsis (28%), and ARDS (17%). The prevalence of SR and CV was only 19.4% (54/278) in the first measurements (primary endpoint), 18.8% (902/4801) in all measurements and 26.5% (9/34) in measurements with MAP < 65 mmHg and CI < 2.5 L/min/m(2) and vasopressor therapy. In 69.1% (192/278) of the first measurements and in 65.9% (3165/4801) of all measurements the patients had SR but did not have CV. In 1.8% (5/278) of the first measurements and in 2.5% (119/4801) of all measurements the patients had CV but lacked SR. In 9.7% (27/278) of the first measurements and in 12.8% (615/4801) of all measurements the patients did neither have SR nor CV. Only 20 of 278 (7.2%) of the first measurements and 8.2% of all measurements fulfilled both major criteria (CV, SR) and both minor criteria for the applicability of SVV. The applicability of SVV in ICU-patients is limited due to the absence of mandatory criteria during the majority of measurements.

AB - Sinus rhythm (SR) and controlled mechanical ventilation (CV) are mandatory for the applicability of respiratory changes of the arterial curve such as stroke volume variation (SVV) to predict fluid-responsiveness. Furthermore, several secondary limitations including tidal volumes <8 mL/kg and SVV-values within the "gray zone" of 9-13% impair prediction of fluid-responsiveness by SVV. Therefore, we investigated the prevalence of these four conditions in general ICU-patients. This longitudinal observational study analyzed a prospectively maintained haemodynamic database including 4801 transpulmonary thermodilution and pulse contour analysis measurements of 278 patients (APACHE-II 21.0 ± 7.4). The main underlying diseases were cirrhosis (32%), sepsis (28%), and ARDS (17%). The prevalence of SR and CV was only 19.4% (54/278) in the first measurements (primary endpoint), 18.8% (902/4801) in all measurements and 26.5% (9/34) in measurements with MAP < 65 mmHg and CI < 2.5 L/min/m(2) and vasopressor therapy. In 69.1% (192/278) of the first measurements and in 65.9% (3165/4801) of all measurements the patients had SR but did not have CV. In 1.8% (5/278) of the first measurements and in 2.5% (119/4801) of all measurements the patients had CV but lacked SR. In 9.7% (27/278) of the first measurements and in 12.8% (615/4801) of all measurements the patients did neither have SR nor CV. Only 20 of 278 (7.2%) of the first measurements and 8.2% of all measurements fulfilled both major criteria (CV, SR) and both minor criteria for the applicability of SVV. The applicability of SVV in ICU-patients is limited due to the absence of mandatory criteria during the majority of measurements.

U2 - 10.1007/s10877-016-9951-4

DO - 10.1007/s10877-016-9951-4

M3 - SCORING: Journal article

C2 - 27817009

VL - 31

SP - 1177

EP - 1187

JO - J CLIN MONIT COMPUT

JF - J CLIN MONIT COMPUT

SN - 1387-1307

IS - 6

ER -