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Splenic Doppler Resistive Index Variation Mirrors Cardiac Responsiveness and Systemic Hemodynamics upon Fluid Challenge Resuscitation in Postoperative Mechanically Ventilated Patients
المؤلفون المشاركون
Vezzani, Antonella
Manca, Tullio
Corradi, Francesco
Brusasco, Claudia
Santori, Gregorio
Tavazzi, Guido
Robba, Chiara
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-08
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Objective.
To test if splenic Doppler resistive index (SDRI) allows noninvasive monitoring of changes in stroke volume and regional splanchnic perfusion in response to fluid challenge.
Design and Setting.
Prospective observational study in cardiac intensive care unit.
Patients.
Fifty-three patients requiring mechanical ventilation and fluid challenge for hemodynamic optimization after cardiac surgery.
Interventions.
SDRI values were obtained before and after volume loading with 500 mL of normal saline over 20 min and compared with changes in systemic hemodynamics, determined invasively by pulmonary artery catheter, and arterial lactate concentration as expression of splanchnic perfusion.
Changes in stroke volume >10% were considered representative of fluid responsiveness.
Results.
A <4% SDRI reduction excluded fluid responsiveness, with 100% sensitivity and 100% negative predictive value.
A >9% SDRI reduction was a marker of fluid responsiveness with 100% specificity and 100% positive predictive value.
A >4% SDRI reduction was always associated with an improvement of splanchnic perfusion mirrored by an increase in lactate clearance and a reduction in systemic vascular resistance, regardless of fluid responsiveness.
Conclusions.
This study shows that SDRI variations after fluid administration is an effective noninvasive tool to monitor systemic hemodynamics and splanchnic perfusion upon volume administration, irrespective of fluid responsiveness in mechanically ventilated patients after cardiac surgery.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Brusasco, Claudia& Tavazzi, Guido& Robba, Chiara& Santori, Gregorio& Vezzani, Antonella& Manca, Tullio…[et al.]. 2018. Splenic Doppler Resistive Index Variation Mirrors Cardiac Responsiveness and Systemic Hemodynamics upon Fluid Challenge Resuscitation in Postoperative Mechanically Ventilated Patients. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1124812
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Brusasco, Claudia…[et al.]. Splenic Doppler Resistive Index Variation Mirrors Cardiac Responsiveness and Systemic Hemodynamics upon Fluid Challenge Resuscitation in Postoperative Mechanically Ventilated Patients. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1124812
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Brusasco, Claudia& Tavazzi, Guido& Robba, Chiara& Santori, Gregorio& Vezzani, Antonella& Manca, Tullio…[et al.]. Splenic Doppler Resistive Index Variation Mirrors Cardiac Responsiveness and Systemic Hemodynamics upon Fluid Challenge Resuscitation in Postoperative Mechanically Ventilated Patients. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1124812
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1124812
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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