Abilities of Dynamic Preload Dependence Indicators to Predict Fluid Responsiveness During Neurosurgery in Sitting Position
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Neurosurgery in Sitting Position
- 发起方
- Hospices Civils de Lyon
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- PPV (Pulse pressure variation)
- 状态
- 已完成
- 最后更新
- 7年前
概览
简要总结
Intraoperative optimization of cardiac output using goal directed fluid challenge is associated with better outcome. Dynamic preload dependence indicators are well validated during surgery in supine position. Positioning from supine to sitting position under anesthesia is responsible of several hemodynamic changes. Predictability and cut-off values of dynamic preload dependence indicators during surgery in sitting position are unknown. The objective of this prospective study is to evaluate ability of three dynamic preload dependence indicators, i.e. PPV (Pulse Pressure Variation), SVV (Stroke Volume Variation) and PVI (Plethysmographic Variability Index), during neurosurgery in sitting position.
详细描述
The primary objective is to determine PPV, SVV and PVI thresholds for which patients respond to fluid challenge in sitting position. The secondary objectives are to determine variations of PPV, SVV and PVI measures before and after positioning in sitting position, and to compare these values to each other.
研究者
入排标准
入选标准
- •neurosurgery in sitting position
- •age \> 18
排除标准
- •arrhythmias
- •severe heart failure
- •severe lung disease
- •contraindications to esophageal Doppler monitoring probe insertion (i.e. esophageal weakness)
- •renal failure
结局指标
主要结局
PPV (Pulse pressure variation)
时间窗: 3 minutes before and after fluid challenge in sitting position
PPV is derived from arterial pressure waveforms and is displayed in real -time on Intellivue MP70 Philips monitors. Value will be recorded before fluid challenge. Responders will be assessed by esophageal Doppler.
SVV (Stroke volume variation)
时间窗: 3 minutes before and after positioning in sitting position
SVV is derived from arterial pressure waveforms and is displayed in real -time on Vigileo Edwards Lifesciences monitors. Value will be recorded before fluid challenge. Responders will be assessed by esophageal Doppler.
PVI (Plethysmographic variability index)
时间窗: 3 minutes before and after positioning in sitting position
PVI is derived from plethysmography waveforms and is displayed in real-time on Radical 7 Masimo monitors. Value of each indicator will be recorded before fluid challenge. Responders will be assessed by esophageal Doppler.