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Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery
OBJECTIVE: This study aimed to assess the predictive value of invasive and non-invasive dynamic parameters for evaluation of fluid responsiveness after off-pump coronary artery bypass grafting. METHODS: Thirty-two adult patients after off-pump coronary surgery were enrolled into a single-center pilo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Turkish Society of Anaesthesiology and Reanimation
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153647/ https://www.ncbi.nlm.nih.gov/pubmed/35256347 http://dx.doi.org/10.5152/TJAR.2021.20411 |
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author | Fot, Evgeniia V. Izotova, Natalia N. Smetkin, Aleksei A. Kuzkov, Vsevolod V. Kirov, Mikhail Y. |
author_facet | Fot, Evgeniia V. Izotova, Natalia N. Smetkin, Aleksei A. Kuzkov, Vsevolod V. Kirov, Mikhail Y. |
author_sort | Fot, Evgeniia V. |
collection | PubMed |
description | OBJECTIVE: This study aimed to assess the predictive value of invasive and non-invasive dynamic parameters for evaluation of fluid responsiveness after off-pump coronary artery bypass grafting. METHODS: Thirty-two adult patients after off-pump coronary surgery were enrolled into a single-center pilot prospective observational study. After arrival to the intensive care unit, all patients received standard fluid challenge test to assess fluid responsiveness. The patients with an increase in cardiac index ≥ 15% after the test were defined as fluid responders. We measured pulse pressure variation using 2 monitoring systems (PPV(PiCCO) and PPV(NK)), stroke volume variation, heart–lung interaction index, and plethysmogram variability index before and after standard fluid challenge test. RESULTS: After intensive care unit admission, the absolute values of stroke volume variation, PPV(PiCCO), PPV(NK), and heart–lung interaction index were significantly higher among fluid responders (P < .05). Response to standard fluid challenge test was predicted by dynamic assessment of PPV(PiCCO) (area under the curve 0.84), PPV(NK) (area under the curve 0.71), stroke volume variation (area under the curve 0.77), and heart–lung interaction index (area under the curve 0.77) (P < .05). The plethysmogram variability index value did not demonstrate any predictive ability regarding fluid responsiveness (area under the curve 0.5, P = .1). CONCLUSIONS: In patients after off-pump coronary surgery, both invasive parameters such as pulse pressure and stroke volume variations and non-invasive parameter such as heart–lung interaction index are able to predict fluid responsiveness. Thus, these dynamic parameters can be used to guide fluid therapy during the early postoperative period after off-pump coronary surgery. |
format | Online Article Text |
id | pubmed-9153647 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Turkish Society of Anaesthesiology and Reanimation |
record_format | MEDLINE/PubMed |
spelling | pubmed-91536472022-06-16 Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery Fot, Evgeniia V. Izotova, Natalia N. Smetkin, Aleksei A. Kuzkov, Vsevolod V. Kirov, Mikhail Y. Turk J Anaesthesiol Reanim Original Article Cardiovascular and Thorasic Anaesthesia OBJECTIVE: This study aimed to assess the predictive value of invasive and non-invasive dynamic parameters for evaluation of fluid responsiveness after off-pump coronary artery bypass grafting. METHODS: Thirty-two adult patients after off-pump coronary surgery were enrolled into a single-center pilot prospective observational study. After arrival to the intensive care unit, all patients received standard fluid challenge test to assess fluid responsiveness. The patients with an increase in cardiac index ≥ 15% after the test were defined as fluid responders. We measured pulse pressure variation using 2 monitoring systems (PPV(PiCCO) and PPV(NK)), stroke volume variation, heart–lung interaction index, and plethysmogram variability index before and after standard fluid challenge test. RESULTS: After intensive care unit admission, the absolute values of stroke volume variation, PPV(PiCCO), PPV(NK), and heart–lung interaction index were significantly higher among fluid responders (P < .05). Response to standard fluid challenge test was predicted by dynamic assessment of PPV(PiCCO) (area under the curve 0.84), PPV(NK) (area under the curve 0.71), stroke volume variation (area under the curve 0.77), and heart–lung interaction index (area under the curve 0.77) (P < .05). The plethysmogram variability index value did not demonstrate any predictive ability regarding fluid responsiveness (area under the curve 0.5, P = .1). CONCLUSIONS: In patients after off-pump coronary surgery, both invasive parameters such as pulse pressure and stroke volume variations and non-invasive parameter such as heart–lung interaction index are able to predict fluid responsiveness. Thus, these dynamic parameters can be used to guide fluid therapy during the early postoperative period after off-pump coronary surgery. Turkish Society of Anaesthesiology and Reanimation 2022-02-01 /pmc/articles/PMC9153647/ /pubmed/35256347 http://dx.doi.org/10.5152/TJAR.2021.20411 Text en © Copyright 2022 authors https://creativecommons.org/licenses/by/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Original Article Cardiovascular and Thorasic Anaesthesia Fot, Evgeniia V. Izotova, Natalia N. Smetkin, Aleksei A. Kuzkov, Vsevolod V. Kirov, Mikhail Y. Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title | Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title_full | Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title_fullStr | Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title_full_unstemmed | Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title_short | Invasive and Non-invasive Dynamic Parameters to Predict Fluid Responsiveness After Off-pump Coronary Surgery |
title_sort | invasive and non-invasive dynamic parameters to predict fluid responsiveness after off-pump coronary surgery |
topic | Original Article Cardiovascular and Thorasic Anaesthesia |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153647/ https://www.ncbi.nlm.nih.gov/pubmed/35256347 http://dx.doi.org/10.5152/TJAR.2021.20411 |
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