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Prediction of Fluid Responsiveness by Means of Stroke Volume Variation Measured by Pulse Wave Transit Time-Based Cardiac Output Monitoring
https://doi.org/10.14994/tohojmed.2019-018
https://doi.org/10.14994/tohojmed.2019-0180478b7ac-514a-4448-a521-fd13c5de482a
| 名前 / ファイル | ライセンス | アクション |
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td26983154.pdf (109.6 KB)
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| Item type | *学術雑誌論文 / Journal Article(1) | |||||||||||
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| 公開日 | 2020-05-21 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Prediction of Fluid Responsiveness by Means of Stroke Volume Variation Measured by Pulse Wave Transit Time-Based Cardiac Output Monitoring(en) | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 主題 | esCCO, stroke volume index, stroke volume variation, fluid responsiveness | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ | journal article | |||||||||||
| ID登録 | ||||||||||||
| ID登録 | 10.14994/tohojmed.2019-018 | |||||||||||
| ID登録タイプ | JaLC | |||||||||||
| 著者 |
Sakamoto, Noriaki
× Sakamoto, Noriaki
× Terada, Takashi
× Ochiai, Ryoichi
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| 内容記述 | ||||||||||||
| 内容記述タイプ | Other | |||||||||||
| 内容記述 | Original Article | |||||||||||
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| 内容記述タイプ | Other | |||||||||||
| 内容記述 | Introduction: Evaluation of the stroke volume and stroke volume variation (SVV), which could predict fluid responsiveness, is important for perioperative cardiovascular management. In this study, we evaluated fluid responsiveness using a noninvasive pulse wave transit time (PWTT)-based cardiac output monitor, the estimated Continuous Cardiac Output (esCCO). Methods: Forty-six adult patients who underwent open abdominal surgery were included. Fluid loading with a 300 mL colloidal solution in 15 min was performed during surgery under general anesthesia. Fluid responsiveness was defined as a 10% or more increase in stroke volume index (SVI) measured by the esCCO. Several parameters were measured before and after fluid loading, and an SVV cutoff value for fluid responsiveness was calculated using the receiver operating characteristic (ROC) curve analysis. Results: Fluid responsiveness was observed in 27 of the 46 patients. SVV and cardiac index exhibited significant changes in the responsive group. In addition, the area under the ROC curve was 0.904 (range, 0.819-0.988) for a 10% or more increase in SVI after fluid loading. The cutoff SVV value was 6.4%. Conclusion: In this study, we successfully used the noninvasive monitor esCCO to show fluid responsiveness during general anesthesia for open abdominal surgery, and the esCCO-derived SVV has an excellent diagnostic value, which is evidenced by the high AUC of ROC curve analysis. | |||||||||||
| 書誌情報 |
ja : Toho Journal of Medicine en : Toho Journal of Medicine 巻 6, 号 1, p. 41-47, 発行日 2020-03-01 |
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| 出版者 | ||||||||||||
| 出版者 | The Medical Society of Toho University | |||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 21891990 | |||||||||||
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| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
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| 内容記述 | TD26983154 | |||||||||||
| 資源タイプ(ローカル) | ||||||||||||
| 内容記述タイプ | Other | |||||||||||
| 内容記述 | TOHO University Scholarly Publication | |||||||||||
| 出版地 | ||||||||||||
| 内容記述 | Tokyo | |||||||||||
