Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients
In the intensive care unit (ICU), stable hemodynamics are very important. Hemodynamic intervention is often effective against multiple organ failure, such as in tissue hypoxia and shock. The administration of intravenous fluids is the first step in regulating tissue perfusion.The main objective of t...
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| Veröffentlicht in: | Medicine (Baltimore) 2017-11, Vol.96 (47), p.e8889-e8889 |
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| description | In the intensive care unit (ICU), stable hemodynamics are very important. Hemodynamic intervention is often effective against multiple organ failure, such as in tissue hypoxia and shock. The administration of intravenous fluids is the first step in regulating tissue perfusion.The main objective of this study is to compare the performance between 2 methods namely pleth variability index (PVI) and IVC distensibily index (dIVC).In this study, the hemodynamic measurements were performed before and after passive leg raising (PLR). Measurements were obtained, including, PVI, dIVC, and cardiac index (CI). Both CI and dIVC measurements were evaluated by transesophageal probe and convex probe respectively. The dIVC measurements were taken using M-mode, 2 cm from junction between the right atrium and the inferior vena cava. The PVI was measured by Masimo Radical-7 monitor, Masimo.A total of 72 patients were included. The dIVC at a threshold value of >23.8% provided 80% sensitivity and 87.5% specificity to predict fluid responsiveness and was statistically significant (P 14% provided 95% sensitivity and 81.2% specificity to predict fluid responsiveness and was statistically significant (P |
| doi_str_mv | 10.1097/MD.0000000000008889 |
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Hemodynamic intervention is often effective against multiple organ failure, such as in tissue hypoxia and shock. The administration of intravenous fluids is the first step in regulating tissue perfusion.The main objective of this study is to compare the performance between 2 methods namely pleth variability index (PVI) and IVC distensibily index (dIVC).In this study, the hemodynamic measurements were performed before and after passive leg raising (PLR). Measurements were obtained, including, PVI, dIVC, and cardiac index (CI). Both CI and dIVC measurements were evaluated by transesophageal probe and convex probe respectively. The dIVC measurements were taken using M-mode, 2 cm from junction between the right atrium and the inferior vena cava. The PVI was measured by Masimo Radical-7 monitor, Masimo.A total of 72 patients were included. The dIVC at a threshold value of >23.8% provided 80% sensitivity and 87.5% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.928 (0.842-0.975). The PVI at a threshold value of >14% provided 95% sensitivity and 81.2% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.939 (0.857-0.982).Both PVI and dIVC can be used as a noninvasive method that can be easily applied at the bedside in determining fluid responsiveness in all patients with mechanical ventilation in intensive care.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000008889</identifier><identifier>PMID: 29382017</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Aged ; Aged, 80 and over ; Female ; Fluid Therapy - methods ; Hemodynamics ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Monitoring, Physiologic - methods ; Observational Study ; Plethysmography - methods ; Point-of-Care Testing ; Prospective Studies ; Respiration, Artificial - methods ; Sensitivity and Specificity ; Vena Cava, Inferior - pathology</subject><ispartof>Medicine (Baltimore), 2017-11, Vol.96 (47), p.e8889-e8889</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4508-fe4b939cfd4fdd26255adbe23f2f6f26457727f677b9d600f75b04d8fdc013453</citedby><cites>FETCH-LOGICAL-c4508-fe4b939cfd4fdd26255adbe23f2f6f26457727f677b9d600f75b04d8fdc013453</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/PMC5709016/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709016/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29382017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pişkin, Özcan</creatorcontrib><creatorcontrib>Öz, İbrahim İlker</creatorcontrib><title>Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>In the intensive care unit (ICU), stable hemodynamics are very important. Hemodynamic intervention is often effective against multiple organ failure, such as in tissue hypoxia and shock. The administration of intravenous fluids is the first step in regulating tissue perfusion.The main objective of this study is to compare the performance between 2 methods namely pleth variability index (PVI) and IVC distensibily index (dIVC).In this study, the hemodynamic measurements were performed before and after passive leg raising (PLR). Measurements were obtained, including, PVI, dIVC, and cardiac index (CI). Both CI and dIVC measurements were evaluated by transesophageal probe and convex probe respectively. The dIVC measurements were taken using M-mode, 2 cm from junction between the right atrium and the inferior vena cava. The PVI was measured by Masimo Radical-7 monitor, Masimo.A total of 72 patients were included. The dIVC at a threshold value of >23.8% provided 80% sensitivity and 87.5% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.928 (0.842-0.975). The PVI at a threshold value of >14% provided 95% sensitivity and 81.2% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.939 (0.857-0.982).Both PVI and dIVC can be used as a noninvasive method that can be easily applied at the bedside in determining fluid responsiveness in all patients with mechanical ventilation in intensive care.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Fluid Therapy - methods</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - methods</subject><subject>Observational Study</subject><subject>Plethysmography - methods</subject><subject>Point-of-Care Testing</subject><subject>Prospective Studies</subject><subject>Respiration, Artificial - methods</subject><subject>Sensitivity and Specificity</subject><subject>Vena Cava, Inferior - pathology</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdks9uFSEUxonR2NvqE5gYlm6mAgPDsDFpWrUmbdzomjD8cVBmGIG5t_cxfGO53tpU2RByft93Ts4HAK8wOsdI8Le3V-fo0en7XjwBG8zarmGio0_BBiHCGi44PQGnOX9HCLec0OfghIi2JwjzDfh1ofWalN7D6OASbBnhViWvBh982UM_G3sHdZwWlayBO1_rfnY2-Zjg1s4KarVV0Hg12WITLBEuFfS6QBdWb2CyeYlz9pW1OVctnKwe1ey1CmF_sCg-qFK9F1V8feUX4JlTIduX9_cZ-Prh_ZfL6-bm88dPlxc3jaYM9Y2zdBCt0M5QZwzpCGPKDJa0jrjOkY4yzgl3HeeDMB1CjrMBUdM7o-saKGvPwLuj77IOkzW69k4qyCX5SaW9jMrLfyuzH-W3uJWMI4FwVw3e3Buk-HO1ucjJZ21DULONa5ZYiBahDvW4ou0R1SnmnKx7aIORPIQpb6_k_2FW1evHEz5o_qZXAXoEdjHU7ecfYd3ZJEerQhn_-DEuSHNgMSYcNfUHoL79DS2JrvE</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Pişkin, Özcan</creator><creator>Öz, İbrahim İlker</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</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>5PM</scope></search><sort><creationdate>20171101</creationdate><title>Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients</title><author>Pişkin, Özcan ; Öz, İbrahim İlker</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4508-fe4b939cfd4fdd26255adbe23f2f6f26457727f677b9d600f75b04d8fdc013453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Fluid Therapy - methods</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - methods</topic><topic>Observational Study</topic><topic>Plethysmography - methods</topic><topic>Point-of-Care Testing</topic><topic>Prospective Studies</topic><topic>Respiration, Artificial - methods</topic><topic>Sensitivity and Specificity</topic><topic>Vena Cava, Inferior - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pişkin, Özcan</creatorcontrib><creatorcontrib>Öz, İbrahim İlker</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>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pişkin, Özcan</au><au>Öz, İbrahim İlker</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>96</volume><issue>47</issue><spage>e8889</spage><epage>e8889</epage><pages>e8889-e8889</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>In the intensive care unit (ICU), stable hemodynamics are very important. Hemodynamic intervention is often effective against multiple organ failure, such as in tissue hypoxia and shock. The administration of intravenous fluids is the first step in regulating tissue perfusion.The main objective of this study is to compare the performance between 2 methods namely pleth variability index (PVI) and IVC distensibily index (dIVC).In this study, the hemodynamic measurements were performed before and after passive leg raising (PLR). Measurements were obtained, including, PVI, dIVC, and cardiac index (CI). Both CI and dIVC measurements were evaluated by transesophageal probe and convex probe respectively. The dIVC measurements were taken using M-mode, 2 cm from junction between the right atrium and the inferior vena cava. The PVI was measured by Masimo Radical-7 monitor, Masimo.A total of 72 patients were included. The dIVC at a threshold value of >23.8% provided 80% sensitivity and 87.5% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.928 (0.842-0.975). The PVI at a threshold value of >14% provided 95% sensitivity and 81.2% specificity to predict fluid responsiveness and was statistically significant (P < .001), with an AUC 0.939 (0.857-0.982).Both PVI and dIVC can be used as a noninvasive method that can be easily applied at the bedside in determining fluid responsiveness in all patients with mechanical ventilation in intensive care.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29382017</pmid><doi>10.1097/MD.0000000000008889</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Female Fluid Therapy - methods Hemodynamics Humans Intensive Care Units Male Middle Aged Monitoring, Physiologic - methods Observational Study Plethysmography - methods Point-of-Care Testing Prospective Studies Respiration, Artificial - methods Sensitivity and Specificity Vena Cava, Inferior - pathology |
| title | Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients |
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