Detection of volume loss using the Nexfin device in blood donors
| Autor: | Christa Boer, T. A. van Veelen, M. M. W. Koopman, J. Stens, S. B. Nicia |
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| Přispěvatelé: | Anesthesiology, ICaR - Circulation and metabolism |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Cardiac output Mean arterial pressure Thermodilution Cardiac index Hemodynamics Blood Donors Blood Pressure 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Medicine Humans Arterial Pressure Prospective Studies Cardiac Output Monitoring Physiologic business.industry 030208 emergency & critical care medicine Blood Pressure Monitors Pulse pressure Anesthesiology and Pain Medicine Blood pressure medicine.anatomical_structure ROC Curve Anesthesia Breathing Vascular resistance Female Vascular Resistance business |
| Zdroj: | Anaesthesia, 71(2), 163-170. Wiley-Blackwell Nicia, S B, van Veelen, T A, Stens, J, Koopman, M M W & Boer, C 2016, ' Detection of volume loss using the Nexfin device in blood donors ', Anaesthesia, vol. 71, no. 2, pp. 163-170 . https://doi.org/10.1111/anae.13283 |
| ISSN: | 1365-2044 0003-2409 |
| DOI: | 10.1111/anae.13283 |
| Popis: | We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min(-1) .m(2) to 3.30 ± 0.61 l.min(-1) .m(2) ; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm(-5) .m(2) to 2137 ± 428 dyn.s.cm(-5) .m(2) ; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. |
| Databáze: | OpenAIRE |
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