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Effects of respiratory settings on stroke volume variation derived from the Vigileo Flotrac system: comparison with pulse pressure variation(和訳中)
https://redcross.repo.nii.ac.jp/records/13661
https://redcross.repo.nii.ac.jp/records/1366146fee98f-c180-410f-8cd4-a2828e289ef9
名前 / ファイル | ライセンス | アクション |
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2017高知赤十字病院医学雑誌_了-15 (1.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-06-20 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Effects of respiratory settings on stroke volume variation derived from the Vigileo Flotrac system: comparison with pulse pressure variation(和訳中) | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Koichi, Yamashita
× Koichi, Yamashita |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Study Objective To compare the stroke volume variation (SVV) derived from VigileoTMFlotrac system with the pulse pressure variation (PPV) under different ventilator settings. Design Prospective measurement study Setting Operating room in the university hospital Patients 12 patients (ASA physical status 1-2) who underwent elective surgery Methods Simultaneous readings of SVV from VigileoTMFlotrac system and PPV while gradually increasing and then decreasing positive end-expiratory pressure (PEEP) from 0 to 15 cm H2O in 5 cm H2O increments. Main Results SVV significantly increased with PEEP >10 cm H2O, being variously 6% ± 2% (PEEP = 0 cm H2O), 8% ± 2% (PEEP = 5 cm H2O), 11% ± 6% (PEEP = 10 cm H2O), 17% ± 10% (PEEP = 15 cm H2O), 11% ± 8% (PEEP = 10 cm H2O), 7% ± 3% (PEEP = 5 cm H2O), and 6% ± 1% (PEEP = 0 cm H2O). PPV values significantly increased at a PEEP of 15 cm H2O, being variously 7% ± 4% (PEEP = 0 cm H2O), 8% ± 4% (PEEP = 5 cm H2O), 10% ± 4% (PEEP = 10 cm H2O), 13% ± 5% (PEEP = 15 cm H2O), 10% ± 4% (PEEP = 10 cm H2O), 7% ± 4% (PEEP = 5 cm H2O), and 6% ± 3% (PEEP = 0 cm H2O). Conclusions SVV derived from VigileoTMFlotrac system was significantly increased under a PEEP of 10 and 15 cm H2O, although PPV values were not significantly affected at a PEEP of 10 cm H2O and below. Hence, SVV derived from VigileoTMFlotrac system might overestimate fluid responsiveness under PEEP > 10 cm H2O. |
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書誌情報 |
高知赤十字病院医学雑誌 en : Medical Journal of Kochi Red Cross Hospital 巻 22, 号 1, p. 71-75, 発行日 2018-03 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0919-7427 |