The Ability of Stroke Volume Variation Measured by a Noninvasive Cardiac Output Monitor to Predict Fluid Responsiveness in Mechanically Ventilated Children
Continuous noninvasive cardiac output monitoring (NICOM) is a clinically useful tool in the pediatric setting. This study compared the ability of stroke volume variation (SVV) measured by NICOM with that of respiratory variations in the velocity of aortic blood flow (△ V peak) and central venous pre...
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| Veröffentlicht in: | Pediatric cardiology 2014-02, Vol.35 (2), p.289-294 |
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| creator | Lee, Ji Yeon Kim, Ji Young Choi, Chang Hyu Kim, Hong Soon Lee, Kyung Cheon Kwak, Hyun Jeong |
| description | Continuous noninvasive cardiac output monitoring (NICOM) is a clinically useful tool in the pediatric setting. This study compared the ability of stroke volume variation (SVV) measured by NICOM with that of respiratory variations in the velocity of aortic blood flow (△
V
peak) and central venous pressure (CVP) to predict of fluid responsiveness in mechanically ventilated children after ventricular septal defect repair. The study investigated 26 mechanically ventilated children after the completion of surgery. At 30 min after their arrival in an intensive care unit, a colloid solution of 10 ml/kg was administrated for volume expansion. Hemodynamic variables, including CVP, stroke volume, and △
V
peak in addition to cardiac output and SVV in NICOM were measured before and 10 min after volume expansion. The patients with a stroke volume increase of more than 15 % after volume expansion were defined as responders. The 26 patients in the study consisted of 13 responders and 13 nonresponders. Before volume expansion, △
V
peak and SVV were higher in the responders (both
p
values |
| doi_str_mv | 10.1007/s00246-013-0772-7 |
| format | Article |
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V
peak) and central venous pressure (CVP) to predict of fluid responsiveness in mechanically ventilated children after ventricular septal defect repair. The study investigated 26 mechanically ventilated children after the completion of surgery. At 30 min after their arrival in an intensive care unit, a colloid solution of 10 ml/kg was administrated for volume expansion. Hemodynamic variables, including CVP, stroke volume, and △
V
peak in addition to cardiac output and SVV in NICOM were measured before and 10 min after volume expansion. The patients with a stroke volume increase of more than 15 % after volume expansion were defined as responders. The 26 patients in the study consisted of 13 responders and 13 nonresponders. Before volume expansion, △
V
peak and SVV were higher in the responders (both
p
values <0.001). The areas under the receiver operating characteristic curves of △
V
peak, SVV, and CVP were respectively 0.956 (95 % CI 0.885–1.00), 0.888 (95 % CI 0.764–1.00), and 0.331 (95 % CI 0.123–0.540). This study showed that SVV by NICOM and △
V
peak by echocardiography, but not CVP, reliably predicted fluid responsiveness during mechanical ventilation after ventricular septal defect repair in children.</description><identifier>ISSN: 0172-0643</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s00246-013-0772-7</identifier><identifier>PMID: 23963186</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cardiac Surgery ; Cardiac Surgical Procedures ; Cardiology ; Cardiovascular equipment ; Child ; Child, Preschool ; Children's furniture ; Circadian Rhythm - physiology ; Comparative analysis ; Echocardiography - methods ; Female ; Fluid Therapy - methods ; Follow-Up Studies ; Heart Septal Defects, Ventricular - surgery ; Humans ; Infant ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Monitoring, Physiologic - methods ; Original Article ; Patient monitoring equipment ; Pediatrics ; Postoperative Care - methods ; Prospective Studies ; Respiration, Artificial ; ROC Curve ; Stroke Volume - physiology ; Vascular Surgery ; Vecuronium ; Venous pressure</subject><ispartof>Pediatric cardiology, 2014-02, Vol.35 (2), p.289-294</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-45c3cef8067817eb437b1fbb72808f5ba67da37a72b5382a90583d324d15f95a3</citedby><cites>FETCH-LOGICAL-c477t-45c3cef8067817eb437b1fbb72808f5ba67da37a72b5382a90583d324d15f95a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00246-013-0772-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00246-013-0772-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23963186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Ji Yeon</creatorcontrib><creatorcontrib>Kim, Ji Young</creatorcontrib><creatorcontrib>Choi, Chang Hyu</creatorcontrib><creatorcontrib>Kim, Hong Soon</creatorcontrib><creatorcontrib>Lee, Kyung Cheon</creatorcontrib><creatorcontrib>Kwak, Hyun Jeong</creatorcontrib><title>The Ability of Stroke Volume Variation Measured by a Noninvasive Cardiac Output Monitor to Predict Fluid Responsiveness in Mechanically Ventilated Children</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><addtitle>Pediatr Cardiol</addtitle><description>Continuous noninvasive cardiac output monitoring (NICOM) is a clinically useful tool in the pediatric setting. This study compared the ability of stroke volume variation (SVV) measured by NICOM with that of respiratory variations in the velocity of aortic blood flow (△
V
peak) and central venous pressure (CVP) to predict of fluid responsiveness in mechanically ventilated children after ventricular septal defect repair. The study investigated 26 mechanically ventilated children after the completion of surgery. At 30 min after their arrival in an intensive care unit, a colloid solution of 10 ml/kg was administrated for volume expansion. Hemodynamic variables, including CVP, stroke volume, and △
V
peak in addition to cardiac output and SVV in NICOM were measured before and 10 min after volume expansion. The patients with a stroke volume increase of more than 15 % after volume expansion were defined as responders. The 26 patients in the study consisted of 13 responders and 13 nonresponders. Before volume expansion, △
V
peak and SVV were higher in the responders (both
p
values <0.001). The areas under the receiver operating characteristic curves of △
V
peak, SVV, and CVP were respectively 0.956 (95 % CI 0.885–1.00), 0.888 (95 % CI 0.764–1.00), and 0.331 (95 % CI 0.123–0.540). This study showed that SVV by NICOM and △
V
peak by echocardiography, but not CVP, reliably predicted fluid responsiveness during mechanical ventilation after ventricular septal defect repair in children.</description><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiology</subject><subject>Cardiovascular equipment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children's furniture</subject><subject>Circadian Rhythm - physiology</subject><subject>Comparative analysis</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Fluid Therapy - methods</subject><subject>Follow-Up Studies</subject><subject>Heart Septal Defects, Ventricular - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Monitoring, Physiologic - methods</subject><subject>Original Article</subject><subject>Patient monitoring equipment</subject><subject>Pediatrics</subject><subject>Postoperative Care - methods</subject><subject>Prospective Studies</subject><subject>Respiration, Artificial</subject><subject>ROC Curve</subject><subject>Stroke Volume - physiology</subject><subject>Vascular Surgery</subject><subject>Vecuronium</subject><subject>Venous pressure</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQxiMEokvhAbggS1y4pPhPEifH1YoCUksRlF6tiTPpujj2YjuV9ll4WRylICEh5MNIM7_vG9tfUbxk9IxRKt9GSnnVlJSJkkrJS_mo2LBK8JJ1kj0uNpTlJm0qcVI8i_GOUtrStn5anHDRNYK1zab4eb1Hsu2NNelI_Ei-puC_I7nxdp5ygWAgGe_IJUKcAw6kPxIgn7wz7h6iuUeygzAY0ORqToc5kcs8Sj6Q5MnnzBudyLmdzUC-YDx4t0gcxkjM4qn34IwGa4_kBl0yFlJesdsbOwR0z4snI9iILx7qafHt_N317kN5cfX-4257UepKylRWtRYax5Y2smUS-0rIno19L3l-7Vj30MgBhATJ-1q0HDpat2IQvBpYPXY1iNPizep7CP7HjDGpyUSN1oJDP0fFqo43spMVy-jrFb0Fi8q40acAesHVVrK65rRrZKbO_kHlM-BktHc4mtz_S8BWgQ4-xoCjOgQzQTgqRtUStVqjVjlqtUStFs2rh1vP_YTDH8XvbDPAVyDmkbvFoO78HFz-yf-4_gKVALR8</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Lee, Ji Yeon</creator><creator>Kim, Ji Young</creator><creator>Choi, Chang Hyu</creator><creator>Kim, Hong Soon</creator><creator>Lee, Kyung Cheon</creator><creator>Kwak, Hyun Jeong</creator><general>Springer US</general><general>Springer</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></search><sort><creationdate>20140201</creationdate><title>The Ability of Stroke Volume Variation Measured by a Noninvasive Cardiac Output Monitor to Predict Fluid Responsiveness in Mechanically Ventilated Children</title><author>Lee, Ji Yeon ; Kim, Ji Young ; Choi, Chang Hyu ; Kim, Hong Soon ; Lee, Kyung Cheon ; Kwak, Hyun Jeong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-45c3cef8067817eb437b1fbb72808f5ba67da37a72b5382a90583d324d15f95a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cardiac Surgery</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiology</topic><topic>Cardiovascular equipment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children's furniture</topic><topic>Circadian Rhythm - physiology</topic><topic>Comparative analysis</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Fluid Therapy - methods</topic><topic>Follow-Up Studies</topic><topic>Heart Septal Defects, Ventricular - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Monitoring, Physiologic - methods</topic><topic>Original Article</topic><topic>Patient monitoring equipment</topic><topic>Pediatrics</topic><topic>Postoperative Care - methods</topic><topic>Prospective Studies</topic><topic>Respiration, Artificial</topic><topic>ROC Curve</topic><topic>Stroke Volume - physiology</topic><topic>Vascular Surgery</topic><topic>Vecuronium</topic><topic>Venous pressure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Ji Yeon</creatorcontrib><creatorcontrib>Kim, Ji Young</creatorcontrib><creatorcontrib>Choi, Chang Hyu</creatorcontrib><creatorcontrib>Kim, Hong Soon</creatorcontrib><creatorcontrib>Lee, Kyung Cheon</creatorcontrib><creatorcontrib>Kwak, Hyun Jeong</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><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Ji Yeon</au><au>Kim, Ji Young</au><au>Choi, Chang Hyu</au><au>Kim, Hong Soon</au><au>Lee, Kyung Cheon</au><au>Kwak, Hyun Jeong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Ability of Stroke Volume Variation Measured by a Noninvasive Cardiac Output Monitor to Predict Fluid Responsiveness in Mechanically Ventilated Children</atitle><jtitle>Pediatric cardiology</jtitle><stitle>Pediatr Cardiol</stitle><addtitle>Pediatr Cardiol</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>35</volume><issue>2</issue><spage>289</spage><epage>294</epage><pages>289-294</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>Continuous noninvasive cardiac output monitoring (NICOM) is a clinically useful tool in the pediatric setting. This study compared the ability of stroke volume variation (SVV) measured by NICOM with that of respiratory variations in the velocity of aortic blood flow (△
V
peak) and central venous pressure (CVP) to predict of fluid responsiveness in mechanically ventilated children after ventricular septal defect repair. The study investigated 26 mechanically ventilated children after the completion of surgery. At 30 min after their arrival in an intensive care unit, a colloid solution of 10 ml/kg was administrated for volume expansion. Hemodynamic variables, including CVP, stroke volume, and △
V
peak in addition to cardiac output and SVV in NICOM were measured before and 10 min after volume expansion. The patients with a stroke volume increase of more than 15 % after volume expansion were defined as responders. The 26 patients in the study consisted of 13 responders and 13 nonresponders. Before volume expansion, △
V
peak and SVV were higher in the responders (both
p
values <0.001). The areas under the receiver operating characteristic curves of △
V
peak, SVV, and CVP were respectively 0.956 (95 % CI 0.885–1.00), 0.888 (95 % CI 0.764–1.00), and 0.331 (95 % CI 0.123–0.540). This study showed that SVV by NICOM and △
V
peak by echocardiography, but not CVP, reliably predicted fluid responsiveness during mechanical ventilation after ventricular septal defect repair in children.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>23963186</pmid><doi>10.1007/s00246-013-0772-7</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0172-0643 |
| ispartof | Pediatric cardiology, 2014-02, Vol.35 (2), p.289-294 |
| issn | 0172-0643 1432-1971 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1492679741 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Cardiac Surgery Cardiac Surgical Procedures Cardiology Cardiovascular equipment Child Child, Preschool Children's furniture Circadian Rhythm - physiology Comparative analysis Echocardiography - methods Female Fluid Therapy - methods Follow-Up Studies Heart Septal Defects, Ventricular - surgery Humans Infant Male Medical research Medicine Medicine & Public Health Medicine, Experimental Monitoring, Physiologic - methods Original Article Patient monitoring equipment Pediatrics Postoperative Care - methods Prospective Studies Respiration, Artificial ROC Curve Stroke Volume - physiology Vascular Surgery Vecuronium Venous pressure |
| title | The Ability of Stroke Volume Variation Measured by a Noninvasive Cardiac Output Monitor to Predict Fluid Responsiveness in Mechanically Ventilated Children |
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