Arterial pulse pressure variation suitability in critical care: A French national survey
Abstract Objective Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). S...
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| Veröffentlicht in: | Anaesthesia critical care & pain medicine 2015-02, Vol.34 (1), p.23-28 |
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| creator | Fischer, Marc-Olivier Mahjoub, Yazine Boisselier, Clément Tavernier, Benoît Dupont, Hervé Leone, Marc Lefrant, Jean-Yves Gérard, Jean-Louis Hanouz, Jean-Luc Fellahi, Jean-Luc |
| description | Abstract Objective Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design A one-day French national survey. Patients and methods A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey. |
| doi_str_mv | 10.1016/j.accpm.2014.08.001 |
| format | Article |
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However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design A one-day French national survey. Patients and methods A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.</description><identifier>ISSN: 2352-5568</identifier><identifier>EISSN: 2352-5568</identifier><identifier>DOI: 10.1016/j.accpm.2014.08.001</identifier><identifier>PMID: 25829311</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Aged ; Anesthesia & Perioperative Care ; Arterial Pressure - physiology ; Critical care ; Critical Care - standards ; Critical Illness ; Endpoint Determination ; Female ; Fluid Therapy - standards ; France ; Health Care Surveys ; Hemodynamics - physiology ; Human health and pathology ; Humans ; Intensive Care Units - standards ; Life Sciences ; Male ; Middle Aged ; Monitoring ; Physicians ; Predicting fluid responsiveness ; Pulse pressure variation ; Respiration, Artificial ; Respiratory Mechanics ; Survey</subject><ispartof>Anaesthesia critical care & pain medicine, 2015-02, Vol.34 (1), p.23-28</ispartof><rights>Société française d’anesthésie et de réanimation (Sfar)</rights><rights>2015 Société française d’anesthésie et de réanimation (Sfar)</rights><rights>Copyright © 2015 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-bc00ed7cbafa9e70243f06ce1e384782ff4a14ccb165f6e9b1fd8bdb7df2001c3</citedby><cites>FETCH-LOGICAL-c448t-bc00ed7cbafa9e70243f06ce1e384782ff4a14ccb165f6e9b1fd8bdb7df2001c3</cites><orcidid>0000-0002-5644-3412 ; 0000-0002-5867-146X ; 0000-0002-3097-758X ; 0000-0002-8887-2377</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25829311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01934803$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Fischer, Marc-Olivier</creatorcontrib><creatorcontrib>Mahjoub, Yazine</creatorcontrib><creatorcontrib>Boisselier, Clément</creatorcontrib><creatorcontrib>Tavernier, Benoît</creatorcontrib><creatorcontrib>Dupont, Hervé</creatorcontrib><creatorcontrib>Leone, Marc</creatorcontrib><creatorcontrib>Lefrant, Jean-Yves</creatorcontrib><creatorcontrib>Gérard, Jean-Louis</creatorcontrib><creatorcontrib>Hanouz, Jean-Luc</creatorcontrib><creatorcontrib>Fellahi, Jean-Luc</creatorcontrib><creatorcontrib>Atlanrea groups</creatorcontrib><title>Arterial pulse pressure variation suitability in critical care: A French national survey</title><title>Anaesthesia critical care & pain medicine</title><addtitle>Anaesth Crit Care Pain Med</addtitle><description>Abstract Objective Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design A one-day French national survey. Patients and methods A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.</description><subject>Aged</subject><subject>Anesthesia & Perioperative Care</subject><subject>Arterial Pressure - physiology</subject><subject>Critical care</subject><subject>Critical Care - standards</subject><subject>Critical Illness</subject><subject>Endpoint Determination</subject><subject>Female</subject><subject>Fluid Therapy - standards</subject><subject>France</subject><subject>Health Care Surveys</subject><subject>Hemodynamics - physiology</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Intensive Care Units - standards</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring</subject><subject>Physicians</subject><subject>Predicting fluid responsiveness</subject><subject>Pulse pressure variation</subject><subject>Respiration, Artificial</subject><subject>Respiratory Mechanics</subject><subject>Survey</subject><issn>2352-5568</issn><issn>2352-5568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkstq3DAUhkVoSEKSJwgELdvFOLrZlgstDCGXwkAXTSA7IR8fEU09tivZA_P2kTNJKN10JXH4_nP7DyEXnGWc8eJqnVmAYZMJxlXGdMYYPyAnQuZikeeF_vTX_5icx7hmiVBFKavyiByLXItKcn5CnpZhxOBtS4epjUiHgDFOAenWpujo-47GyY-29q0fd9R3FIIfPSQB2IBf6ZLeBuzgmXavdIon-RZ3Z-TQ2ZTx_O09JY-3Nw_X94vVz7sf18vVApTS46IGxrApobbOVlgyoaRjBSBHqVWphXPKcgVQ8yJ3BVY1d42um7psnEgTgTwlX_Z5n21rhuA3NuxMb725X67MHGO8kkozueWJ_bxnh9D_mTCOZuMjYNvaDvspGl4UlcqlqlRC5R6F0McY0H3k5szMDpi1eXXAzA4Ypk3qJqku3wpM9QabD837vhPwbQ9gWsnWYzARfFofNj4gjKbp_X8KfP9HD63vZjt-4w7jup9CsiBNYqIwzPyaj2C-AZ4n_5l8ki-DX61d</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Fischer, Marc-Olivier</creator><creator>Mahjoub, Yazine</creator><creator>Boisselier, Clément</creator><creator>Tavernier, Benoît</creator><creator>Dupont, Hervé</creator><creator>Leone, Marc</creator><creator>Lefrant, Jean-Yves</creator><creator>Gérard, Jean-Louis</creator><creator>Hanouz, Jean-Luc</creator><creator>Fellahi, Jean-Luc</creator><general>Elsevier Masson SAS</general><general>Elsevier Masson</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-5644-3412</orcidid><orcidid>https://orcid.org/0000-0002-5867-146X</orcidid><orcidid>https://orcid.org/0000-0002-3097-758X</orcidid><orcidid>https://orcid.org/0000-0002-8887-2377</orcidid></search><sort><creationdate>20150201</creationdate><title>Arterial pulse pressure variation suitability in critical care: A French national survey</title><author>Fischer, Marc-Olivier ; Mahjoub, Yazine ; Boisselier, Clément ; Tavernier, Benoît ; Dupont, Hervé ; Leone, Marc ; Lefrant, Jean-Yves ; Gérard, Jean-Louis ; Hanouz, Jean-Luc ; Fellahi, Jean-Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-bc00ed7cbafa9e70243f06ce1e384782ff4a14ccb165f6e9b1fd8bdb7df2001c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anesthesia & Perioperative Care</topic><topic>Arterial Pressure - physiology</topic><topic>Critical care</topic><topic>Critical Care - standards</topic><topic>Critical Illness</topic><topic>Endpoint Determination</topic><topic>Female</topic><topic>Fluid Therapy - standards</topic><topic>France</topic><topic>Health Care Surveys</topic><topic>Hemodynamics - physiology</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Intensive Care Units - standards</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring</topic><topic>Physicians</topic><topic>Predicting fluid responsiveness</topic><topic>Pulse pressure variation</topic><topic>Respiration, Artificial</topic><topic>Respiratory Mechanics</topic><topic>Survey</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fischer, Marc-Olivier</creatorcontrib><creatorcontrib>Mahjoub, Yazine</creatorcontrib><creatorcontrib>Boisselier, Clément</creatorcontrib><creatorcontrib>Tavernier, Benoît</creatorcontrib><creatorcontrib>Dupont, Hervé</creatorcontrib><creatorcontrib>Leone, Marc</creatorcontrib><creatorcontrib>Lefrant, Jean-Yves</creatorcontrib><creatorcontrib>Gérard, Jean-Louis</creatorcontrib><creatorcontrib>Hanouz, Jean-Luc</creatorcontrib><creatorcontrib>Fellahi, Jean-Luc</creatorcontrib><creatorcontrib>Atlanrea groups</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Anaesthesia critical care & pain medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fischer, Marc-Olivier</au><au>Mahjoub, Yazine</au><au>Boisselier, Clément</au><au>Tavernier, Benoît</au><au>Dupont, Hervé</au><au>Leone, Marc</au><au>Lefrant, Jean-Yves</au><au>Gérard, Jean-Louis</au><au>Hanouz, Jean-Luc</au><au>Fellahi, Jean-Luc</au><aucorp>Atlanrea groups</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arterial pulse pressure variation suitability in critical care: A French national survey</atitle><jtitle>Anaesthesia critical care & pain medicine</jtitle><addtitle>Anaesth Crit Care Pain Med</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>34</volume><issue>1</issue><spage>23</spage><epage>28</epage><pages>23-28</pages><issn>2352-5568</issn><eissn>2352-5568</eissn><abstract>Abstract Objective Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design A one-day French national survey. Patients and methods A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>25829311</pmid><doi>10.1016/j.accpm.2014.08.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5644-3412</orcidid><orcidid>https://orcid.org/0000-0002-5867-146X</orcidid><orcidid>https://orcid.org/0000-0002-3097-758X</orcidid><orcidid>https://orcid.org/0000-0002-8887-2377</orcidid></addata></record> |
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| subjects | Aged Anesthesia & Perioperative Care Arterial Pressure - physiology Critical care Critical Care - standards Critical Illness Endpoint Determination Female Fluid Therapy - standards France Health Care Surveys Hemodynamics - physiology Human health and pathology Humans Intensive Care Units - standards Life Sciences Male Middle Aged Monitoring Physicians Predicting fluid responsiveness Pulse pressure variation Respiration, Artificial Respiratory Mechanics Survey |
| title | Arterial pulse pressure variation suitability in critical care: A French national survey |
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