Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old
Background The assessment of intravascular volume status is very important especially in children during anesthesia. Pulse pressure variation (PPV) and pleth variability index (PVI) are well known parameters for assessing intravascular volume status and fluid responsiveness. We compared PPV and PVI...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2019-10-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-19128.pdf |
| _version_ | 1818341102088880128 |
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| author | Sang-Hwan Ji In-Kyung Song Young-Eun Jang Eun-Hee Kim Ji-Hyun Lee Jin-Tae Kim Hee-Soo Kim |
| author_facet | Sang-Hwan Ji In-Kyung Song Young-Eun Jang Eun-Hee Kim Ji-Hyun Lee Jin-Tae Kim Hee-Soo Kim |
| author_sort | Sang-Hwan Ji |
| collection | DOAJ |
| description | Background The assessment of intravascular volume status is very important especially in children during anesthesia. Pulse pressure variation (PPV) and pleth variability index (PVI) are well known parameters for assessing intravascular volume status and fluid responsiveness. We compared PPV and PVI for children aged less than two years who underwent surgery in the prone position. Methods A total of 27 children were enrolled. We measured PPV and PVI at the same limb during surgery before and after changing the patients’ position from supine to prone. We then compared PPV and PVI at each period using Bland-Altman plot for bias between the two parameters and for any correlation. We also examined the difference between before and after the position change for each parameter, along with peak inspiratory pressure, heart rate and mean blood pressure. Results The bias between PPV and PVI was −2.2% with a 95% limits of agreement of −18.8% to 14.5%, not showing significant correlation at any period. Both PPV and PVI showed no significant difference before and after the position change. Conclusions No significant correlation between PVI and PPV was observed in children undergoing surgery in the prone position. Further studies relating PVI, PPV, and fluid responsiveness via adequate cardiac output estimation in children aged less than 2 years are required. |
| first_indexed | 2024-12-13T15:53:27Z |
| format | Article |
| id | doaj.art-c31c8c0b3e914f47b7c024fd3ba06599 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-13T15:53:27Z |
| publishDate | 2019-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-c31c8c0b3e914f47b7c024fd3ba065992022-12-21T23:39:23ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632019-10-0172546647110.4097/kja.191288544Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years oldSang-Hwan Ji0In-Kyung Song1Young-Eun Jang2Eun-Hee Kim3Ji-Hyun Lee4Jin-Tae Kim5Hee-Soo Kim6 Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, KoreaBackground The assessment of intravascular volume status is very important especially in children during anesthesia. Pulse pressure variation (PPV) and pleth variability index (PVI) are well known parameters for assessing intravascular volume status and fluid responsiveness. We compared PPV and PVI for children aged less than two years who underwent surgery in the prone position. Methods A total of 27 children were enrolled. We measured PPV and PVI at the same limb during surgery before and after changing the patients’ position from supine to prone. We then compared PPV and PVI at each period using Bland-Altman plot for bias between the two parameters and for any correlation. We also examined the difference between before and after the position change for each parameter, along with peak inspiratory pressure, heart rate and mean blood pressure. Results The bias between PPV and PVI was −2.2% with a 95% limits of agreement of −18.8% to 14.5%, not showing significant correlation at any period. Both PPV and PVI showed no significant difference before and after the position change. Conclusions No significant correlation between PVI and PPV was observed in children undergoing surgery in the prone position. Further studies relating PVI, PPV, and fluid responsiveness via adequate cardiac output estimation in children aged less than 2 years are required.http://ekja.org/upload/pdf/kja-19128.pdfarterial pressurechildfluid therapiesplethysmographyprone positions |
| spellingShingle | Sang-Hwan Ji In-Kyung Song Young-Eun Jang Eun-Hee Kim Ji-Hyun Lee Jin-Tae Kim Hee-Soo Kim Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old Korean Journal of Anesthesiology arterial pressure child fluid therapies plethysmography prone positions |
| title | Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| title_full | Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| title_fullStr | Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| title_full_unstemmed | Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| title_short | Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| title_sort | comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old |
| topic | arterial pressure child fluid therapies plethysmography prone positions |
| url | http://ekja.org/upload/pdf/kja-19128.pdf |
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