Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness

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Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness. / Kubitz, J; Richter, H P; Petersen, C; Goetz, A; Reuter, D.

In: MINERVA ANESTESIOL, Vol. 80, No. 9, 2014, p. 992-995.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Kubitz, J, Richter, HP, Petersen, C, Goetz, A & Reuter, D 2014, 'Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness', MINERVA ANESTESIOL, vol. 80, no. 9, pp. 992-995.

APA

Kubitz, J., Richter, H. P., Petersen, C., Goetz, A., & Reuter, D. (2014). Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness. MINERVA ANESTESIOL, 80(9), 992-995.

Vancouver

Bibtex

@article{0a3d60279dde4312b8827236f7ae48f3,
title = "Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness",
abstract = "Objective: So far, only left ventricular functional preload indices are used as a routine to assess volume responsiveness. Right ventricular (RV) functional preload indices have been described, but offer no continuous monitoring. Design and Measurements: Following ethical approval, a pressure-induced right ventricular failure (RVF) was induced with continuous infusion of a thromboxane-A2-analogue (U46619) in 15 anesthetized and ventilated pigs. Before and after increasing mean pulmonary artery pressure (MPAP) by 50%, right ventricular stroke volume variation (RVSVV) was assessed with an ultrasonic pulmonary artery flow probe. Measurements were repeated following volume depletion (- 300 ml) and stepwise re-transfusion (200 ml of whole blood and 200 ml of a colloid solution). Main Results: A significant and systematic increase in RVSVV during induction of RVF was observed. Volume depletion lead to an increase in RVSVV and re-transfusion lead to a decrease in RVSVV. RVSVV was higher and a significant decrease in RVSVV was present in all animals experiencing an increase in CO by more than 5 % during re-transfusion. Conclusion: RVSVV seems to reflect volume requirement of the right ventricle and it might prove a reliable parameter to assess volume responsiveness in RVF.",
author = "J Kubitz and Richter, {H P} and C Petersen and A Goetz and D Reuter",
year = "2014",
language = "English",
volume = "80",
pages = "992--995",
journal = "MINERVA ANESTESIOL",
issn = "0375-9393",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "9",

}

RIS

TY - JOUR

T1 - Right ventricular stroke volume variation: a tool to assess right ventricular volume responsiveness

AU - Kubitz, J

AU - Richter, H P

AU - Petersen, C

AU - Goetz, A

AU - Reuter, D

PY - 2014

Y1 - 2014

N2 - Objective: So far, only left ventricular functional preload indices are used as a routine to assess volume responsiveness. Right ventricular (RV) functional preload indices have been described, but offer no continuous monitoring. Design and Measurements: Following ethical approval, a pressure-induced right ventricular failure (RVF) was induced with continuous infusion of a thromboxane-A2-analogue (U46619) in 15 anesthetized and ventilated pigs. Before and after increasing mean pulmonary artery pressure (MPAP) by 50%, right ventricular stroke volume variation (RVSVV) was assessed with an ultrasonic pulmonary artery flow probe. Measurements were repeated following volume depletion (- 300 ml) and stepwise re-transfusion (200 ml of whole blood and 200 ml of a colloid solution). Main Results: A significant and systematic increase in RVSVV during induction of RVF was observed. Volume depletion lead to an increase in RVSVV and re-transfusion lead to a decrease in RVSVV. RVSVV was higher and a significant decrease in RVSVV was present in all animals experiencing an increase in CO by more than 5 % during re-transfusion. Conclusion: RVSVV seems to reflect volume requirement of the right ventricle and it might prove a reliable parameter to assess volume responsiveness in RVF.

AB - Objective: So far, only left ventricular functional preload indices are used as a routine to assess volume responsiveness. Right ventricular (RV) functional preload indices have been described, but offer no continuous monitoring. Design and Measurements: Following ethical approval, a pressure-induced right ventricular failure (RVF) was induced with continuous infusion of a thromboxane-A2-analogue (U46619) in 15 anesthetized and ventilated pigs. Before and after increasing mean pulmonary artery pressure (MPAP) by 50%, right ventricular stroke volume variation (RVSVV) was assessed with an ultrasonic pulmonary artery flow probe. Measurements were repeated following volume depletion (- 300 ml) and stepwise re-transfusion (200 ml of whole blood and 200 ml of a colloid solution). Main Results: A significant and systematic increase in RVSVV during induction of RVF was observed. Volume depletion lead to an increase in RVSVV and re-transfusion lead to a decrease in RVSVV. RVSVV was higher and a significant decrease in RVSVV was present in all animals experiencing an increase in CO by more than 5 % during re-transfusion. Conclusion: RVSVV seems to reflect volume requirement of the right ventricle and it might prove a reliable parameter to assess volume responsiveness in RVF.

M3 - SCORING: Journal article

C2 - 24351934

VL - 80

SP - 992

EP - 995

JO - MINERVA ANESTESIOL

JF - MINERVA ANESTESIOL

SN - 0375-9393

IS - 9

ER -