Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study
Joint Authors
Delannoy, Bertrand
Wallet, Florent
Page, Mathieu
Kaaki, Mahmoud
Schoeffler, Mathieu
Alexander, Brenton
Desebbe, Olivier
Maucort-Boulch, Delphine
Source
Critical Care Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pulse pressure variation can predict fluid responsiveness in strict applicability conditions.
The purpose of this study was to describe the clinical applicability of pulse pressure variation during episodes of patient hemodynamic instability in the intensive care unit.
We conducted a five-day, seven-center prospective study that included patients presenting with an unstable hemodynamic event.
The six predefined inclusion criteria for pulse pressure variation applicability were as follows: mechanical ventilation, tidal volume >7 mL/kg, sinus rhythm, no spontaneous breath, heart rate/respiratory rate ratio >3.6, absence of right ventricular dysfunction, or severe valvulopathy.
Seventy-three patients presented at least one unstable hemodynamic event, with a total of 163 unstable hemodynamic events.
The six predefined criteria for the applicability of pulse pressure variation were completely present in only 7% of these.
This data indicates that PPV should only be used alongside a strong understanding of the relevant physiology and applicability criteria.
Although these exclusion criteria appear to be profound, they likely represent an absolute contraindication of use for only a minority of critical care patients.
American Psychological Association (APA)
Delannoy, Bertrand& Wallet, Florent& Maucort-Boulch, Delphine& Page, Mathieu& Kaaki, Mahmoud& Schoeffler, Mathieu…[et al.]. 2016. Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study. Critical Care Research and Practice،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099534
Modern Language Association (MLA)
Delannoy, Bertrand…[et al.]. Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study. Critical Care Research and Practice No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1099534
American Medical Association (AMA)
Delannoy, Bertrand& Wallet, Florent& Maucort-Boulch, Delphine& Page, Mathieu& Kaaki, Mahmoud& Schoeffler, Mathieu…[et al.]. Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study. Critical Care Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099534
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099534