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Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation
Joint Authors
Røislien, Jo
Høiseth, Lars Øivind
Landsverk, Svein Aslak
Hisdal, Jonny
Hoff, Ingrid Elise
Kirkebøen, Knut Arvid
Source
Critical Care Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-18
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Correct volume management is essential in patients with respiratory failure.
We investigated the ability of respiratory variations in noninvasive pulse pressure (ΔPP), photoplethysmographic waveform amplitude (ΔPOP), and pleth variability index (PVI) to reflect hypovolemia during noninvasive positive pressure ventilation by inducing hypovolemia with progressive lower body negative pressure (LBNP).
Methods.
Fourteen volunteers underwent LBNP of 0, −20, −40, −60, and −80 mmHg for 4.5 min at each level or until presyncope.
The procedure was repeated with noninvasive positive pressure ventilation.
We measured stroke volume (suprasternal Doppler), ΔPP (Finapres), ΔPOP, and PVI and assessed their association with LBNP-level using linear mixed model regression analyses.
Results.
Stroke volume decreased with each pressure level (−11.2 mL, 95% CI −11.8, −9.6, P<0.001), with an additional effect of noninvasive positive pressure ventilation (−3.0 mL, 95% CI −8.5, −1.3, P=0.009).
ΔPP increased for each LBNP-level (1.2%, 95% CI 0.5, 1.8, P<0.001) and almost doubled during noninvasive positive pressure ventilation (additional increase 1.0%, 95% CI 0.1, 1.9, P=0.003).
Neither ΔPOP nor PVI was significantly associated with LBNP-level.
Conclusions.
During noninvasive positive pressure ventilation, preload changes were reflected by ΔPP but not by ΔPOP or PVI.
This implies that ΔPP may be used to assess volume status during noninvasive positive pressure ventilation.
American Psychological Association (APA)
Hoff, Ingrid Elise& Høiseth, Lars Øivind& Hisdal, Jonny& Røislien, Jo& Landsverk, Svein Aslak& Kirkebøen, Knut Arvid. 2014. Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation. Critical Care Research and Practice،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-492561
Modern Language Association (MLA)
Hoff, Ingrid Elise…[et al.]. Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation. Critical Care Research and Practice No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-492561
American Medical Association (AMA)
Hoff, Ingrid Elise& Høiseth, Lars Øivind& Hisdal, Jonny& Røislien, Jo& Landsverk, Svein Aslak& Kirkebøen, Knut Arvid. Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation. Critical Care Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-492561
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492561