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Evaluation of corrected flow time in oesophageal Doppler as a predictor of fluid responsiveness

Cited 72 time in Web of Science Cited 81 time in Scopus
Authors
Lee, J. H.; Kim, J. T.; Yoon, S. Z.; Lim, Y. J.; Jeon, Y.; Bahk, J. H.; Kim, C. S.
Issue Date
2007-07-11
Publisher
Oxford University Press
Citation
Br J Anaesth. 2007 Sep;99(3):343-8. Epub 2007 Jul 9.
Keywords
AdultBlood PressureCentral Venous PressureEchocardiography, Transesophageal/*methodsFemaleFluid Therapy/*methodsHeart RateHumansMaleMiddle AgedMonitoring, Intraoperative/*methodsPrognosisROC CurveStroke Volume
Abstract
BACKGROUND: Corrected flow time (FTc) by oesophageal Doppler is considered to be a 'static' preload index. We evaluated the ability of FTc to predict fluid responsiveness and compared this with the abilities of other preload indices, such as pulse pressure variation (PPV), central venous pressure (CVP), and left ventricular end-diastolic area index (LVEDAI). METHODS: Twenty neurosurgical patients were studied. After induction of anaesthesia, FTc, PPV, LVEDAI, CVP, and stroke volume index (SVI) were measured before and 12 min after fluid loading with 6% hydroxyethyl starch solution (7 ml kg(-1)). Responders and non-responders were defined as those patients with an SVI increase >or= 10% or < 10% after fluid loading, respectively. Pearson's correlation was used to assess correlations between changes in SVI and initial haemodynamic variables. Receiver operating characteristic (ROC) curves were constructed and compared to evaluate the overall performance of preload indices (FTc, PPV, LVEDAI, and CVP) in terms of predicting fluid responsiveness. RESULTS: FTc and PPV before fluid loading differed between responders (n = 11) and non-responders (n = 9), and correlated with changes in SVI (r = -0.515 and r = 0.696, respectively), which was opposite to that observed for CVP or LVEDAI. Areas under ROC curves for FTc [0.944 (SD 0.058)] and PPV [0.909 (0.069)] were significantly greater than those for CVP [0.540 (0.133), P < 0.001] and LVEDAI [0.495 (0.133), P < 0.001]. The optimal threshold value given by ROC analysis was 357 ms for FTc. CONCLUSIONS: In this study, FTc predicted fluid responsiveness. However, FTc should be used in conjunction with other clinical information.
ISSN
0007-0912 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17621598

http://hdl.handle.net/10371/23438
DOI
https://doi.org/10.1093/bja/aem179
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College of Medicine/School of Medicine (의과대학/대학원)Anesthesiology and Pain Medicine (마취통증의학전공)Journal Papers (저널논문_마취통증의학전공)
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