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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...

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Autores principales: Fot, Evgeniia V., Izotova, Natalia N., Smetkin, Aleksei A., Kuzkov, Vsevolod V., Kirov, Mikhail Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Society of Anaesthesiology and Reanimation 2022
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.
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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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