Unreliable Tracking Ability of the Third-Generation FloTrac/Vigileo™ System for Changes in Stroke Volume after Fluid Administration in Patients with High Systemic Vascular Resistance during Laparoscopic Surgery
The FloTrac/Vigileo™ system does not thoroughly reflect variable arterial tones, due to a lack of external calibration. The ability of this system to measure stroke volume and track its changes after fluid administration has not been fully evaluated in patients with the high systemic vascular resist...
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| creator | Chin, Ji-Hyun Kim, Wook-Jong Choi, Jeong-Hyun Han, Yun A Kim, Seon-Ok Choi, Woo-Jong |
| description | The FloTrac/Vigileo™ system does not thoroughly reflect variable arterial tones, due to a lack of external calibration. The ability of this system to measure stroke volume and track its changes after fluid administration has not been fully evaluated in patients with the high systemic vascular resistance that can develop during laparoscopic surgery.
In 42 patients undergoing laparoscopic prostatectomy, the stroke volume derived by the third-generation FloTrac/Vigileo™ system (SV-Vigileo), the stroke volume measured using transesophageal echocardiography (SV-TEE) as a reference method, and total systemic vascular resistance were evaluated before and after 500 ml fluid administration during pneumoperitoneum combined with the Trendelenburg position.
Total systemic vascular resistance was 2159.4 ± 523.5 dyn·s/cm5 before fluid administration. The SV-Vigileo was significantly higher than the SV-TEE both before (68.8 ± 15.9 vs. 57.0 ± 11.0 ml, P < 0.001) and after (73.0 ± 14.8 vs. 64.9 ± 12.2 ml, P = 0.003) fluid administration. During pneumoperitoneum combined with the Trendelenburg position, Bland-Altman analysis for repeated measures showed a 53.8% of percentage error between the SV-Vigileo and the SV-TEE. Four-quadrant plot (69.2% of a concordance rate) and polar plot analysis (20.6° of a mean polar angle, 16.4° of the SD of a polar angle, and ±51.5° of a radial sector containing 95% of the data points) did not indicate a good trending ability of the FloTrac/Vigileo™ system.
The third-generation FloTrac/Vigileo™ system may not be useful in patients undergoing laparoscopic surgery, based on unreliable performance in measuring the stroke volume and in tracking changes in the stroke volume after fluid administration during pneumoperitoneum combined with the Trendelenburg position. |
| doi_str_mv | 10.1371/journal.pone.0142125 |
| format | Article |
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In 42 patients undergoing laparoscopic prostatectomy, the stroke volume derived by the third-generation FloTrac/Vigileo™ system (SV-Vigileo), the stroke volume measured using transesophageal echocardiography (SV-TEE) as a reference method, and total systemic vascular resistance were evaluated before and after 500 ml fluid administration during pneumoperitoneum combined with the Trendelenburg position.
Total systemic vascular resistance was 2159.4 ± 523.5 dyn·s/cm5 before fluid administration. The SV-Vigileo was significantly higher than the SV-TEE both before (68.8 ± 15.9 vs. 57.0 ± 11.0 ml, P < 0.001) and after (73.0 ± 14.8 vs. 64.9 ± 12.2 ml, P = 0.003) fluid administration. During pneumoperitoneum combined with the Trendelenburg position, Bland-Altman analysis for repeated measures showed a 53.8% of percentage error between the SV-Vigileo and the SV-TEE. Four-quadrant plot (69.2% of a concordance rate) and polar plot analysis (20.6° of a mean polar angle, 16.4° of the SD of a polar angle, and ±51.5° of a radial sector containing 95% of the data points) did not indicate a good trending ability of the FloTrac/Vigileo™ system.
The third-generation FloTrac/Vigileo™ system may not be useful in patients undergoing laparoscopic surgery, based on unreliable performance in measuring the stroke volume and in tracking changes in the stroke volume after fluid administration during pneumoperitoneum combined with the Trendelenburg position.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0142125</identifier><identifier>PMID: 26529592</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Analysis ; Anesthesia ; Anesthesiology ; Blood pressure ; Blood substitutes ; Cardiovascular disease ; Catheters ; Data points ; Echocardiography ; Echocardiography, Transesophageal ; Esophagus ; Evaluation ; Female ; Heart ; Hemodynamics ; Humans ; Laparoscopy ; Laparoscopy - methods ; Male ; Medicine ; Middle Aged ; Pain ; Patient care ; Patients ; Pneumoperitoneum - diagnostic imaging ; Pneumoperitoneum - physiopathology ; Pneumoperitoneum - surgery ; Position measurement ; Prostate cancer ; Prostatectomy ; Pulmonary arteries ; Stroke ; Stroke volume ; Surgery ; Urological surgery ; Variables ; Variance analysis ; Vascular Resistance ; Video-Assisted Surgery - methods</subject><ispartof>PloS one, 2015-11, Vol.10 (11), p.e0142125-e0142125</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Chin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Chin et al 2015 Chin et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-80114ca2146ae5735f667574a03cc49f899f1e2ba6bcaf7fb85e0a27407c687e3</citedby><cites>FETCH-LOGICAL-c692t-80114ca2146ae5735f667574a03cc49f899f1e2ba6bcaf7fb85e0a27407c687e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631474/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631474/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23864,27922,27923,53789,53791,79370,79371</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26529592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Efron, Philip Alexander</contributor><creatorcontrib>Chin, Ji-Hyun</creatorcontrib><creatorcontrib>Kim, Wook-Jong</creatorcontrib><creatorcontrib>Choi, Jeong-Hyun</creatorcontrib><creatorcontrib>Han, Yun A</creatorcontrib><creatorcontrib>Kim, Seon-Ok</creatorcontrib><creatorcontrib>Choi, Woo-Jong</creatorcontrib><title>Unreliable Tracking Ability of the Third-Generation FloTrac/Vigileo™ System for Changes in Stroke Volume after Fluid Administration in Patients with High Systemic Vascular Resistance during Laparoscopic Surgery</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The FloTrac/Vigileo™ system does not thoroughly reflect variable arterial tones, due to a lack of external calibration. The ability of this system to measure stroke volume and track its changes after fluid administration has not been fully evaluated in patients with the high systemic vascular resistance that can develop during laparoscopic surgery.
In 42 patients undergoing laparoscopic prostatectomy, the stroke volume derived by the third-generation FloTrac/Vigileo™ system (SV-Vigileo), the stroke volume measured using transesophageal echocardiography (SV-TEE) as a reference method, and total systemic vascular resistance were evaluated before and after 500 ml fluid administration during pneumoperitoneum combined with the Trendelenburg position.
Total systemic vascular resistance was 2159.4 ± 523.5 dyn·s/cm5 before fluid administration. The SV-Vigileo was significantly higher than the SV-TEE both before (68.8 ± 15.9 vs. 57.0 ± 11.0 ml, P < 0.001) and after (73.0 ± 14.8 vs. 64.9 ± 12.2 ml, P = 0.003) fluid administration. During pneumoperitoneum combined with the Trendelenburg position, Bland-Altman analysis for repeated measures showed a 53.8% of percentage error between the SV-Vigileo and the SV-TEE. Four-quadrant plot (69.2% of a concordance rate) and polar plot analysis (20.6° of a mean polar angle, 16.4° of the SD of a polar angle, and ±51.5° of a radial sector containing 95% of the data points) did not indicate a good trending ability of the FloTrac/Vigileo™ system.
The third-generation FloTrac/Vigileo™ system may not be useful in patients undergoing laparoscopic surgery, based on unreliable performance in measuring the stroke volume and in tracking changes in the stroke volume after fluid administration during pneumoperitoneum combined with the Trendelenburg position.</description><subject>Aged</subject><subject>Analysis</subject><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Blood pressure</subject><subject>Blood substitutes</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>Data points</subject><subject>Echocardiography</subject><subject>Echocardiography, Transesophageal</subject><subject>Esophagus</subject><subject>Evaluation</subject><subject>Female</subject><subject>Heart</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Patient care</subject><subject>Patients</subject><subject>Pneumoperitoneum - diagnostic imaging</subject><subject>Pneumoperitoneum - physiopathology</subject><subject>Pneumoperitoneum - surgery</subject><subject>Position measurement</subject><subject>Prostate cancer</subject><subject>Prostatectomy</subject><subject>Pulmonary arteries</subject><subject>Stroke</subject><subject>Stroke volume</subject><subject>Surgery</subject><subject>Urological surgery</subject><subject>Variables</subject><subject>Variance analysis</subject><subject>Vascular Resistance</subject><subject>Video-Assisted Surgery - methods</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tuFCEcxidGY2v1DYySmBi92O1wGNi5Mdk09pA0qem2e0sYhpmhZWELjLr3PonP5BP4JDJ22nRNLwwXEPh9H_A_ZNlrmE8hZnD_yvXeCjNdO6umOSQIouJJtgtLjCYU5fjpg_VO9iKEqzwv8IzS59kOogUqixLtZr8urVdGi8oocOGFvNa2BfNKGx03wDUgdmm_076eHCmrvIjaWXBo3MDuL3WrjXK_f_wEi02IagUa58FBJ2yrAtAWLKJ31wosnelXCogmKp_Eva7BvF5pq0McHRP7Ja2UjQF807EDx7rtRlMtwVIE2RvhwbkKSSSsVKDu_fDWU7EW3gXp1olb9L5VfvMye9YIE9Srcd7LLg8_XxwcT07Pjk4O5qcTSUsUJ7McQiIFgoQKVTBcNJSyghGRYylJ2czKsoEKVYJWUjSsqWaFygViJGeSzpjCe9nbW9-1cYGPCQkcMlRikheIJuLklqiduOJrr1fCb7gTmv_dcL7lwkctjeKMJkVVYgqbioiqKiXGJWRyVsuasSpPXp_G2_pqpWqZguWF2TLdPrG64637ygnFkDCSDD6MBt7d9CpEvtJBKmOEVa4f3o1zOkOsHNB3_6CP_26kWpE-oG3j0r1yMOVzgnFBCGEDNX2ESqMecpuqt0lFtC34uCVITFTfYyv6EPjJ4vz_2bPlNvv-AdspYWIXUmkOFRi2QXILylRZwavmPsgw50Pz3UWDD83Hx-ZLsjcPE3Qvuus2_AcB_C7o</recordid><startdate>20151103</startdate><enddate>20151103</enddate><creator>Chin, Ji-Hyun</creator><creator>Kim, Wook-Jong</creator><creator>Choi, Jeong-Hyun</creator><creator>Han, Yun A</creator><creator>Kim, Seon-Ok</creator><creator>Choi, Woo-Jong</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</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>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151103</creationdate><title>Unreliable Tracking Ability of the Third-Generation FloTrac/Vigileo™ System for Changes in Stroke Volume after Fluid Administration in Patients with High Systemic Vascular Resistance during Laparoscopic Surgery</title><author>Chin, Ji-Hyun ; Kim, Wook-Jong ; Choi, Jeong-Hyun ; Han, Yun A ; Kim, Seon-Ok ; Choi, Woo-Jong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-80114ca2146ae5735f667574a03cc49f899f1e2ba6bcaf7fb85e0a27407c687e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Analysis</topic><topic>Anesthesia</topic><topic>Anesthesiology</topic><topic>Blood pressure</topic><topic>Blood substitutes</topic><topic>Cardiovascular disease</topic><topic>Catheters</topic><topic>Data points</topic><topic>Echocardiography</topic><topic>Echocardiography, Transesophageal</topic><topic>Esophagus</topic><topic>Evaluation</topic><topic>Female</topic><topic>Heart</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Patient care</topic><topic>Patients</topic><topic>Pneumoperitoneum - diagnostic imaging</topic><topic>Pneumoperitoneum - physiopathology</topic><topic>Pneumoperitoneum - surgery</topic><topic>Position measurement</topic><topic>Prostate cancer</topic><topic>Prostatectomy</topic><topic>Pulmonary arteries</topic><topic>Stroke</topic><topic>Stroke volume</topic><topic>Surgery</topic><topic>Urological surgery</topic><topic>Variables</topic><topic>Variance analysis</topic><topic>Vascular Resistance</topic><topic>Video-Assisted Surgery - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chin, Ji-Hyun</creatorcontrib><creatorcontrib>Kim, Wook-Jong</creatorcontrib><creatorcontrib>Choi, Jeong-Hyun</creatorcontrib><creatorcontrib>Han, Yun A</creatorcontrib><creatorcontrib>Kim, Seon-Ok</creatorcontrib><creatorcontrib>Choi, Woo-Jong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chin, Ji-Hyun</au><au>Kim, Wook-Jong</au><au>Choi, Jeong-Hyun</au><au>Han, Yun A</au><au>Kim, Seon-Ok</au><au>Choi, Woo-Jong</au><au>Efron, Philip Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unreliable Tracking Ability of the Third-Generation FloTrac/Vigileo™ System for Changes in Stroke Volume after Fluid Administration in Patients with High Systemic Vascular Resistance during Laparoscopic Surgery</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-11-03</date><risdate>2015</risdate><volume>10</volume><issue>11</issue><spage>e0142125</spage><epage>e0142125</epage><pages>e0142125-e0142125</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The FloTrac/Vigileo™ system does not thoroughly reflect variable arterial tones, due to a lack of external calibration. The ability of this system to measure stroke volume and track its changes after fluid administration has not been fully evaluated in patients with the high systemic vascular resistance that can develop during laparoscopic surgery.
In 42 patients undergoing laparoscopic prostatectomy, the stroke volume derived by the third-generation FloTrac/Vigileo™ system (SV-Vigileo), the stroke volume measured using transesophageal echocardiography (SV-TEE) as a reference method, and total systemic vascular resistance were evaluated before and after 500 ml fluid administration during pneumoperitoneum combined with the Trendelenburg position.
Total systemic vascular resistance was 2159.4 ± 523.5 dyn·s/cm5 before fluid administration. The SV-Vigileo was significantly higher than the SV-TEE both before (68.8 ± 15.9 vs. 57.0 ± 11.0 ml, P < 0.001) and after (73.0 ± 14.8 vs. 64.9 ± 12.2 ml, P = 0.003) fluid administration. During pneumoperitoneum combined with the Trendelenburg position, Bland-Altman analysis for repeated measures showed a 53.8% of percentage error between the SV-Vigileo and the SV-TEE. Four-quadrant plot (69.2% of a concordance rate) and polar plot analysis (20.6° of a mean polar angle, 16.4° of the SD of a polar angle, and ±51.5° of a radial sector containing 95% of the data points) did not indicate a good trending ability of the FloTrac/Vigileo™ system.
The third-generation FloTrac/Vigileo™ system may not be useful in patients undergoing laparoscopic surgery, based on unreliable performance in measuring the stroke volume and in tracking changes in the stroke volume after fluid administration during pneumoperitoneum combined with the Trendelenburg position.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26529592</pmid><doi>10.1371/journal.pone.0142125</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2015-11, Vol.10 (11), p.e0142125-e0142125 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Analysis Anesthesia Anesthesiology Blood pressure Blood substitutes Cardiovascular disease Catheters Data points Echocardiography Echocardiography, Transesophageal Esophagus Evaluation Female Heart Hemodynamics Humans Laparoscopy Laparoscopy - methods Male Medicine Middle Aged Pain Patient care Patients Pneumoperitoneum - diagnostic imaging Pneumoperitoneum - physiopathology Pneumoperitoneum - surgery Position measurement Prostate cancer Prostatectomy Pulmonary arteries Stroke Stroke volume Surgery Urological surgery Variables Variance analysis Vascular Resistance Video-Assisted Surgery - methods |
| title | Unreliable Tracking Ability of the Third-Generation FloTrac/Vigileo™ System for Changes in Stroke Volume after Fluid Administration in Patients with High Systemic Vascular Resistance during Laparoscopic Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T02%3A27%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unreliable%20Tracking%20Ability%20of%20the%20Third-Generation%20FloTrac/Vigileo%E2%84%A2%20System%20for%20Changes%20in%20Stroke%20Volume%20after%20Fluid%20Administration%20in%20Patients%20with%20High%20Systemic%20Vascular%20Resistance%20during%20Laparoscopic%20Surgery&rft.jtitle=PloS%20one&rft.au=Chin,%20Ji-Hyun&rft.date=2015-11-03&rft.volume=10&rft.issue=11&rft.spage=e0142125&rft.epage=e0142125&rft.pages=e0142125-e0142125&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0142125&rft_dat=%3Cgale_plos_%3EA433544476%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1729340526&rft_id=info:pmid/26529592&rft_galeid=A433544476&rft_doaj_id=oai_doaj_org_article_76052b9361fb4abb9c33917c8dcd77b0&rfr_iscdi=true |