Evaluation of Stroke Volume Variation Derived From NICOM as a Predictor of Fluid Responsiveness in Prone Position During Spine Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fluid Responsiveness
- Sponsor
- Samsung Medical Center
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Stroke volume variation from NICOM®
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
NICOM® is a recently developed noninvasive cardiac output monitoring device, and indices derived from NICOM® such as SVV has been reported to predict fluid responsiveness in the previous studies. However, its usefulness in prone positioning has not been investigated. Thus, the aim of this prospective observational study is to evaluate the usefulness of stroke volume variation (SVV) derived from NICOM® to predict fluid responsiveness in prone patients undergoing spine surgery.
Investigators
Jong Hwan Lee
Assistant Professor
Samsung Medical Center
Eligibility Criteria
Inclusion Criteria
- •ASA I or II patients undergoing spine surgery in prone position
Exclusion Criteria
- •Pre-existing arrhythmic disorders/moderate to severe valvular heart disease/obstructive pulmonary disease (COPD grade \>2), left ventricular dysfunction with LV EF less than 50, preoperative need for inotropics or vasopressors
- •BMI \>30kg/m\^2 or \<15kg/m\^2
- •Preoperative serum Cr \> 1.3mg/dL
- •Patients with coagulopathy
Outcomes
Primary Outcomes
Stroke volume variation from NICOM®
Time Frame: 5 min after infusion of bolus fluid
predictability of stroke volume variation from NICOM® for fluid responsiveness
Secondary Outcomes
- pulse pressure variation and stroke volume variation from Flotrac/Vigileo system(5 min after infusion of bolus fluid)