Diagnosis Accuracy of Mean Arterial Pressure Variation during a Lung Recruitment Maneuver to Predict Fluid Responsiveness in Thoracic Surgery with One-Lung Ventilation
Joint Authors
Kim, Seong-Hyop
Oh, Chung-Sik
Rhee, Ka Young
Kang, Woon-Seok
Park, Chulmin
Shin, Bo Mi
Yoon, Tae-Gyoon
Woo, Nam-Sik
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Lung recruitment maneuver (LRM) during thoracic surgery can reduce systemic venous return and resulting drop in systemic blood pressure depends on the patient’s fluid status.
We hypothesized that changes in systemic blood pressure during the transition in LRM from one-lung ventilation (OLV) to two-lung ventilation (TLV) may provide an index to predict fluid responsiveness.
Methods.
Hemodynamic parameters were measured before LRM (T0); after LRM at the time of the lowest mean arterial blood pressure (MAP) (T1) and at 3 minutes (T2); before fluid administration (T3); and 5 minutes after ending it (T4).
If the stroke volume index increased by >25% following 10 mL/kg colloid administration for 30 minutes, then the patients were assigned to responder group.
Results.
Changes in MAP, central venous pressure (CVP), and stroke volume variation (SVV) between T0 and T1 were significantly larger in responders.
Areas under the curve for change in MAP, CVP, and SVV were 0.852, 0.759, and 0.820, respectively; the optimal threshold values for distinguishment of responders were 9.5 mmHg, 0.5 mmHg, and 3.5%, respectively.
Conclusions.
The change in the MAP associated with LRM at the OLV to TLV conversion appears to be a useful indicator of fluid responsiveness after thoracic surgery.
Trial Registration.
This trial is registered at Clinical Research Information Service with KCT0000774.
American Psychological Association (APA)
Kang, Woon-Seok& Oh, Chung-Sik& Park, Chulmin& Shin, Bo Mi& Yoon, Tae-Gyoon& Rhee, Ka Young…[et al.]. 2016. Diagnosis Accuracy of Mean Arterial Pressure Variation during a Lung Recruitment Maneuver to Predict Fluid Responsiveness in Thoracic Surgery with One-Lung Ventilation. BioMed Research International،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1097383
Modern Language Association (MLA)
Kang, Woon-Seok…[et al.]. Diagnosis Accuracy of Mean Arterial Pressure Variation during a Lung Recruitment Maneuver to Predict Fluid Responsiveness in Thoracic Surgery with One-Lung Ventilation. BioMed Research International No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1097383
American Medical Association (AMA)
Kang, Woon-Seok& Oh, Chung-Sik& Park, Chulmin& Shin, Bo Mi& Yoon, Tae-Gyoon& Rhee, Ka Young…[et al.]. Diagnosis Accuracy of Mean Arterial Pressure Variation during a Lung Recruitment Maneuver to Predict Fluid Responsiveness in Thoracic Surgery with One-Lung Ventilation. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1097383
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1097383