Use of noninvasive volume assessment methods to predict acute blood loss in spontaneously breathing volunteers

Autor: Asim Tomo, Murat Pekdemir, Ibrahim Ulas Ozturan, Nurettin Ozgur Dogan, Elif Yaka, Serkan Yilmaz
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinical and Experimental Emergency Medicine, Vol 8, Iss 1, Pp 9-15 (2021)
Druh dokumentu: article
ISSN: 2383-4625
DOI: 10.15441/ceem.20.021
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
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