Use of noninvasive volume assessment methods to predict acute blood loss in spontaneously breathing volunteers
Autor: | Murat Pekdemir, Asim Tomo, Serkan Yılmaz, İbrahim Ulaş Özturan, Nurettin Özgür Doğan, Elif Yaka |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Mean arterial pressure Hypovolemia Hemodynamics 030204 cardiovascular system & hematology Emergency Nursing 03 medical and health sciences 0302 clinical medicine Capnography Internal medicine medicine Intravascular volume status Photoplethysmography medicine.diagnostic_test business.industry Shock 030208 emergency & critical care medicine Confidence interval Pulse pressure Emergency Medicine Breathing Cardiology Original Article medicine.symptom business |
Zdroj: | Clinical and Experimental Emergency Medicine |
ISSN: | 2383-4625 |
Popis: | Objective The use of noninvasive volume assessment methods to predict acute blood loss in spontaneously breathing patients remains unclear. We aimed to investigate changes in the pleth variability index (PVI), vena cava collapsibility index (VCCI), end-tidal carbon dioxide (EtCO2), pulse pressure (PP), and mean arterial pressure (MAP) in spontaneously breathing volunteers after acute loss of 450 mL blood and passive leg raise (PLR). Methods This prospective observational study enrolled healthy volunteers in the blood donation center of an academic hospital. We measured the PVI, EtCO2, VCCI, MAP, and PP before blood donation; at the 0th and 10th minute of blood donation; and after PLR. The primary outcome was the changes in PVI, EtCO2, VCCI, MAP, and PP. Results We enrolled thirty volunteers. There were significant differences among the four obtained measurements of the PVI, EtCO2, and MAP (P |
Databáze: | OpenAIRE |
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