The presence of elastic compression stockings reduces the fluid responsiveness of patients in the operating room
| Autor: | Michel Slama, Ammar Benammar, Elie Zogheib, Julien Maizel, Béatrice Labont, Hervé Dupont, Nabil Cherradi, Michael Bernasinski, Faouzi Trojette, Abdel Hakim Hchikat |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Operating Rooms medicine.medical_specialty Supine position Hemodynamics Intraoperative Period 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Internal medicine Heart rate medicine Humans Prospective Studies Cardiac Surgical Procedures Aged business.industry Central venous pressure Stroke Volume 030208 emergency & critical care medicine Blood flow Stroke volume Cardiac surgery body regions Anesthesiology and Pain Medicine Blood pressure Cardiology Fluid Therapy Female business Stockings Compression |
| Zdroj: | Minerva Anestesiologica. 84 |
| ISSN: | 1827-1596 0375-9393 |
| Popis: | Background The aim of this study was to investigate whether elastic compression stockings (ECS) can affect fluid responsiveness parameters before and during passive leg raising (PLR) maneuvers. Methods In the operating room (OR), we performed a prospective study including patients referred for cardiac surgery. Blood pressure (BP), ΔPP, heart rate (HR), central venous pressure (CVP), stroke volume (SV) and aortic blood flow (ABF) (by esophageal doppler) were measured according to four conditions: supine position without ECS (baseline 1), lower limbs raised to an angle of 45° (PLR 1), returned to the supine position with ECS (baseline 2), then a second PLR maneuver with ECS was performed (PLR 2). Results Twenty patients were included. BP, SV, ABF and CVP increased significantly. ΔPP and HR decreased during PLR 1. At baseline 2, HR and ΔPP decreased significantly compared to baseline 1. During PLR 2, increase of SV (4% [9]) and ABF (4% [9]), and the decrease of ΔPP (-19% [104]) were significantly lower than those observed at PLR 1 (7% [21] P=0.05; 9% [8] P=0.02 and -66% [40] P=0.02, respectively). Eleven patients presented a ΔPP≥13% at baseline 1. Only 1 patient still presented a ΔPP≥13% with ECS at baseline 2. Only 3/9 patients with an increase of ABF ≥10% and 2/11 patients with an increase of PP ≥12% during the PLR 1 presented similar results during PLR 2. Conclusions In the OR, ECS provoke a self-fluid loading increasing ABF, decreasing ΔPP and PLR response. The presence of ECS should be considered when managing hemodynamic parameters of patients. |
| Databáze: | OpenAIRE |
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