Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study

BackgroundThe aim of this study was to evaluate the ability of point-of-care Doppler ultrasound measurements of carotid corrected flow time and its changes induced by volume expansion to predict fluid responsiveness in patients undergoing robot-assisted gynecological surgery.MethodsIn this prospecti...

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Main Authors: Xixi Tang, Jingqiu Liang, Dongling Tan, Qi Chen, Chengfu Zhou, Tingjun Yang, Hongliang Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1387433/full
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author Xixi Tang
Jingqiu Liang
Dongling Tan
Qi Chen
Chengfu Zhou
Tingjun Yang
Hongliang Liu
author_facet Xixi Tang
Jingqiu Liang
Dongling Tan
Qi Chen
Chengfu Zhou
Tingjun Yang
Hongliang Liu
author_sort Xixi Tang
collection DOAJ
description BackgroundThe aim of this study was to evaluate the ability of point-of-care Doppler ultrasound measurements of carotid corrected flow time and its changes induced by volume expansion to predict fluid responsiveness in patients undergoing robot-assisted gynecological surgery.MethodsIn this prospective study, carotid corrected flow time was measured using Doppler images of the common carotid artery before and after volume expansion. The stroke volume index at each time point was recorded using noninvasive cardiac output monitoring with MostCare. Of the 52 patients enrolled, 26 responded.ResultsThe areas under the receiver operating characteristic curves of the carotid corrected flow time and changes in carotid corrected flow time induced by volume expansion were 0.82 and 0.67, respectively. Their optimal cut-off values were 357 and 19.5 ms, respectively.ConclusionCarotid corrected flow time was superior to changes in carotid corrected flow time induced by volume expansion for predicting fluid responsiveness in this population.
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spelling doaj.art-fb3995456f074baca9fdb8754b1288c42024-04-04T04:28:56ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-04-011110.3389/fmed.2024.13874331387433Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational studyXixi Tang0Jingqiu Liang1Dongling Tan2Qi Chen3Chengfu Zhou4Tingjun Yang5Hongliang Liu6Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaChongqing Cancer Multi-Omics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anesthesiology, People’s Hospital of Shizhu, Chongqing, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anesthesiology, People’s Hospital of Shizhu, Chongqing, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaBackgroundThe aim of this study was to evaluate the ability of point-of-care Doppler ultrasound measurements of carotid corrected flow time and its changes induced by volume expansion to predict fluid responsiveness in patients undergoing robot-assisted gynecological surgery.MethodsIn this prospective study, carotid corrected flow time was measured using Doppler images of the common carotid artery before and after volume expansion. The stroke volume index at each time point was recorded using noninvasive cardiac output monitoring with MostCare. Of the 52 patients enrolled, 26 responded.ResultsThe areas under the receiver operating characteristic curves of the carotid corrected flow time and changes in carotid corrected flow time induced by volume expansion were 0.82 and 0.67, respectively. Their optimal cut-off values were 357 and 19.5 ms, respectively.ConclusionCarotid corrected flow time was superior to changes in carotid corrected flow time induced by volume expansion for predicting fluid responsiveness in this population.https://www.frontiersin.org/articles/10.3389/fmed.2024.1387433/fullDoppler ultrasoundcorrected flow timefluid responsivenessrobotic-assistedgynecologic surgery
spellingShingle Xixi Tang
Jingqiu Liang
Dongling Tan
Qi Chen
Chengfu Zhou
Tingjun Yang
Hongliang Liu
Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
Frontiers in Medicine
Doppler ultrasound
corrected flow time
fluid responsiveness
robotic-assisted
gynecologic surgery
title Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
title_full Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
title_fullStr Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
title_full_unstemmed Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
title_short Value of carotid corrected flow time or changes value of FTc could be more useful in predicting fluid responsiveness in patients undergoing robot-assisted gynecologic surgery: a prospective observational study
title_sort value of carotid corrected flow time or changes value of ftc could be more useful in predicting fluid responsiveness in patients undergoing robot assisted gynecologic surgery a prospective observational study
topic Doppler ultrasound
corrected flow time
fluid responsiveness
robotic-assisted
gynecologic surgery
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1387433/full
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