Plethysmographic variability index as a tool to assess fluid responsiveness in critically ill patients: a correlation study with inferior vena cava distensibility index

Autor:	Deepak Dwivedi, Bhavna Hooda, Parvinder Singh Bedi, Bhavna Pahwa
Rok vydání:	2019
Předmět:	Correlation medicine.medical_specialty Index (economics) medicine.vein business.industry Critically ill Internal medicine Fluid responsiveness medicine Cardiology Plethysmograph business Inferior vena cava
Zdroj:	International Journal of Research in Medical Sciences. 7:4663
ISSN:	2320-6012 2320-6071
DOI:	10.18203/2320-6012.ijrms20195535
Popis:	Background: In critically ill patients in the intensive care unit (ICU), early aggressive fluid replacement is the cornerstone of resuscitation. Traditionally employed static measures of fluid responsiveness have a poor predictive value. It is therefore imperative to employ dynamic measures of fluid responsiveness that take into account the heart lung interactions in the mechanically ventilated patients. The main objective of this study was to evaluate the reliability of one such non-invasive dynamic index: Plethysmographic variability index (PVI) compared to the widely employed Inferior vena cava distensibility index (dIVC).Methods: Seventy-six adult patients admitted at a tertiary care mixed ICU, who developed hypotension (MAP15.5% discriminated between responders and non-responders with a 90.2% sensitivity and 75% specificity with an AUC of 0.84 (0.72-0.96) (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::457dc09546fecc0d0b6c183f34b8d7f7 https://doi.org/10.18203/2320-6012.ijrms20195535 Zobrazit plný text záznamu