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THE PREDICTION OF FLUID RESPONSIVENESS USING PULSE PRESSURE VARIATION AFTER TIDAL VOLUME CHALLENGE IN POSTOPERATIVE PATIENT WITH LUNG PROTECTIVE VENTILATIO

Not Applicable
Conditions
Postoperative acute circulatory faiure
Tidal volume
Shock
Stroke volume
Registration Number
TCTR20190808003
Lead Sponsor
Faculty of Medicine, Ramathibodi Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Enrolling by invitation
Sex
All
Target Recruitment
15
Inclusion Criteria

1. Postoperative adult patients with intermediate to high risk postoperative pulmonary complications ventilated with low tidal volume ventilation
2. Patients who had postoperative circulatory failure defined as one of the following; MAP < 65 mmHg, SBP < 90 mmHg, SBP decrease more than 40 mmHg from baseline, arterial lactate > 4 mmol/l, urine output < 0.5 ml/kg/hr at least one hour.
3. Patients who already had arterial line in place

Exclusion Criteria

1. Limitation of PPV and SVV use
2. Pregnancy
3. Use of plateau pressure more than 30 cmH2O before inclusion

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The prediction of fluid responsiveness After inclusion The increase of stroke volume after fluid loading
Secondary Outcome Measures
NameTimeMethod
The cut point of delta pulse pressure variation and stroke volume variation After inclusion The increase of stroke volume after fluid loading
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