PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING
Thirty-two adult patients after off-pump coronary artery bypass grafting were enrolled into a prospective observational study. All patients received positive end expiratory pressure test (PEEP-test), mini-fluid challenge test (mFCT) and standard fluid challenge test (sFCT). Pulse pressure variation...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-11-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/274 |
| _version_ | 1797700399366406144 |
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| author | E. V. Fot N. N. Isotova A. A. Smetkin M. Yu. Kirov |
| author_facet | E. V. Fot N. N. Isotova A. A. Smetkin M. Yu. Kirov |
| author_sort | E. V. Fot |
| collection | DOAJ |
| description | Thirty-two adult patients after off-pump coronary artery bypass grafting were enrolled into a prospective observational study. All patients received positive end expiratory pressure test (PEEP-test), mini-fluid challenge test (mFCT) and standard fluid challenge test (sFCT). Pulse pressure variation using two monitoring systems (PPVPiCCO, PPVNK), Stroke volume variation (SVV), heart-lung index (HLI) and plethysmogram variability index (PVI) were assessed before and after sFCT. The patients with an increase in cardiac index by ≥15% after fluid challenge were defined as fluid responders. According to receiver operating characteristic analysis, changes in mean arterial pressure induced by PEEP-test identified fluid responsiveness with AUC 0.73 (p= 0.03). The reduction in PPVPiCCO and SVV during mFCT predicted positive response to the fluid load with AUC 0.77 and 0.75, respectively (p< 0.05). Response to sFLT can be predicted by the assessment of PPVPiCCO (AUC 0.84), PPVNK (AUC 0.71), SVV (AUC 0.77) and HLI (AUC 0.77) (p< 0.05). |
| first_indexed | 2024-03-12T04:21:19Z |
| format | Article |
| id | doaj.art-bfa7729b31fb4716b4013da91ba58e77 |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T04:21:19Z |
| publishDate | 2018-11-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-bfa7729b31fb4716b4013da91ba58e772023-09-03T10:33:16ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-11-0115551310.21292/2078-5658-2018-15-5-5-13262PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTINGE. V. Fot0N. N. Isotova1A. A. Smetkin2M. Yu. Kirov3Северный государственный медицинский университет.Северный государственный медицинский университет.Северный государственный медицинский университет.Северный государственный медицинский университет.Thirty-two adult patients after off-pump coronary artery bypass grafting were enrolled into a prospective observational study. All patients received positive end expiratory pressure test (PEEP-test), mini-fluid challenge test (mFCT) and standard fluid challenge test (sFCT). Pulse pressure variation using two monitoring systems (PPVPiCCO, PPVNK), Stroke volume variation (SVV), heart-lung index (HLI) and plethysmogram variability index (PVI) were assessed before and after sFCT. The patients with an increase in cardiac index by ≥15% after fluid challenge were defined as fluid responders. According to receiver operating characteristic analysis, changes in mean arterial pressure induced by PEEP-test identified fluid responsiveness with AUC 0.73 (p= 0.03). The reduction in PPVPiCCO and SVV during mFCT predicted positive response to the fluid load with AUC 0.77 and 0.75, respectively (p< 0.05). Response to sFLT can be predicted by the assessment of PPVPiCCO (AUC 0.84), PPVNK (AUC 0.71), SVV (AUC 0.77) and HLI (AUC 0.77) (p< 0.05).https://www.vair-journal.com/jour/article/view/274восприимчивость к инфузионной нагрузкединамические показателидинамические тесты |
| spellingShingle | E. V. Fot N. N. Isotova A. A. Smetkin M. Yu. Kirov PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING Вестник анестезиологии и реаниматологии восприимчивость к инфузионной нагрузке динамические показатели динамические тесты |
| title | PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING |
| title_full | PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING |
| title_fullStr | PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING |
| title_full_unstemmed | PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING |
| title_short | PREDICT FLUID RESPONSIVENESS AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING |
| title_sort | predict fluid responsiveness after off pump coronary artery bypass grafting |
| topic | восприимчивость к инфузионной нагрузке динамические показатели динамические тесты |
| url | https://www.vair-journal.com/jour/article/view/274 |
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