Peripheral i.v. analysis (PIVA) of venous waveforms for volume assessment in patients undergoing haemodialysis K.M. Hocking, B.D. Alvis, F. Baudenbacher,

Slides:

Advertisements

Similar presentations

Plasma concentrations and sedation scores after nebulized and intranasal midazolam in healthy volunteers A.S.M. McCormick, V.L. Thomas, D. Berry, P.W.

Advertisements

B.D. Woods, R.N. Sladen British Journal of Anaesthesia

Reply from the authors British Journal of Anaesthesia

Change in end-tidal carbon dioxide outperforms other surrogates for change in cardiac output during fluid challenge K Lakhal, M.A. Nay, T Kamel, B Lortat-Jacob,

G.B. Drummond, A. Bates, J. Mann, D.K. Arvind

L. A. Tafur, P. Taura, A. Blasi, J. Beltran, G. Martinez-Palli, J

Sevoflurane therapy for life-threatening asthma in children

Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients A.

Perfusion index derived from a pulse oximeter can predict the incidence of hypotension during spinal anaesthesia for Caesarean delivery S Toyama, M Kakumoto,

Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,

Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia

Comparison of positive end-expiratory pressure–induced increase in central venous pressure and passive leg raising to predict fluid responsiveness in.

Uncalibrated arterial pressure waveform analysis for cardiac output monitoring is biased by low peripheral resistance in patients with intracranial haemorrhage†

Estimation of changes in cardiac output from the arterial blood pressure waveform in the upper limb†,†† N.W.F. Linton, R.A.F. Linton British Journal.

M. Niesters, R. Mahajan, E. Olofsen, M. Boom, S. Garcia del Valle, L

Serum markers of hepatic fibrogenesis in cystic fibrosis liver disease

Does prior administration of enoxaparin influence the effects of levobupivacaine on blood clotting? Assessment using the Thrombelastograph® S.A. Leonard,

Pharmacokinetics of ropivacaine in patients with chronic renal failure

Sex and oestrous cycle differences in visceromotor responses and vasopressin release in response to colonic distension in male and female rats anaesthetized.

A different use of visual analytic techniques in anaesthetics

M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita

Lung protective strategies in anaesthesia

J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do

T. Ledowski, J. Burke, J. Hruby British Journal of Anaesthesia

Changes in cerebrospinal fluid magnesium levels in patients undergoing spinal anaesthesia for hip arthroplasty: does intravenous infusion of magnesium.

N. H. Sperna Weiland, J. Hermanides, M W Hollmann, B

Comparison of oxygen uptake during arm or leg cardiopulmonary exercise testing in vascular surgery patients and control subjects L. Loughney, M. West,

B.M.Q. Weaver, G.E. Staddon, W.W. Mapleson

Mixed venous oxygen saturation predicts short- and long-term outcome after coronary artery bypass grafting surgery: a retrospective cohort analysis J.

Development of atelectasis and arterial to end-tidal Pco2-difference in a porcine model of pneumoperitoneum C.M. Strang, T. Hachenberg, F. Fredén, G.

Prevention of arterial hypotension after spinal anaesthesia using vena cava ultrasound to guide fluid management S. Ceruti, L. Anselmi, B. Minotti, D.

A. Vincelot, N. Nathan, D. Collet, Y. Mehaddi, P. Grandchamp, A. Julia

Analgesia nociception index for the assessment of pain in critically ill patients: a diagnostic accuracy study G. Chanques, T. Tarri, A. Ride, A. Prades,

Continuous and minimally invasive cardiac output monitoring by long time interval analysis of a radial arterial pressure waveform: assessment using a.

Awareness and the EEG power spectrum: analysis of frequencies

Nitrous oxide for monitoring fluid absorption in volunteers†

Validation of pulse pressure variation and corrected flow time as predictors of fluid responsiveness in patients in the prone position S.-Y. Yang, J.-K.

Value of a single preoperative PFA-100® measurement in assessing the risk of bleeding in patients taking cyclooxygenase inhibitors and undergoing total.

M. Licker, A. Spiliopoulos, J.M. Tschopp

Assessing fitness for surgery: a comparison of questionnaire, incremental shuttle walk, and cardiopulmonary exercise testing in general surgical patients†

H. Beloeil, J.-X. Mazoit, D. Benhamou, J. Duranteau

Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery P.-G. Chassot, A. Delabays, D.R. Spahn

Bispectral index is related to the spread of spinal sensory block in patients with combined spinal and general anaesthesia R Iida, K Iwasaki, J Kato,

Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing A. Sarang, J. Dinsmore British Journal of Anaesthesia

Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation.

Positive pressure ventilation: what is the real cost?

Predictive performance of the modified Marsh and Schnider models for propofol in underweight patients undergoing general anaesthesia using target-controlled.

Ventilation strategies in obese patients undergoing surgery: a quantitative systematic review and meta-analysis† M. Aldenkortt, C. Lysakowski, N. Elia,

Predicting postoperative morbidity in adult elective surgical patients using the Surgical Outcome Risk Tool (SORT) D.J.N. Wong, C.M. Oliver, S.R. Moonesinghe

Relationship between approximate entropy and visual inspection of irregularity in the EEG signal, a comparison with spectral entropy A. Anier, T. Lipping,

Predictive value of pulse pressure variation for fluid responsiveness in septic patients using lung-protective ventilation strategies F.G.R. Freitas,

Respiratory systolic variation test in acutely impaired cardiac function for predicting volume responsiveness in pigs V. Eichhorn, C. Trepte, H.P. Richter,

J.J. Vos, T.W.L. Scheeren, S.A. Loer, A. Hoeft, J.K.G. Wietasch

Individual patient data analysis of tidal volumes used in three large randomized control trials involving patients with acute respiratory distress syndrome

Non-invasive continuous arterial pressure monitoring with Nexfin® does not sufficiently replace invasive measurements in critically ill patients A Hohn,

E. -H. Lee, H. -M. Lee, C. -H. Chung, J. -H. Chin, D. -K. Choi, H. -J

G.B. Drummond, B. Lafferty British Journal of Anaesthesia

Validity of the 6 min walk test in prediction of the anaerobic threshold before major non- cardiac surgery R.C.F. Sinclair, A.M. Batterham, S. Davies,

Editorial II: Solid as a ROC

Peripheral venous pressure as an alternative to central venous pressure in patients undergoing laparoscopic colorectal surgery S.H. Kim, S.Y. Park, J.

Multivariate model for predicting postoperative blood loss in children undergoing cardiac surgery: a preliminary study V. Savan, A. Willems, D. Faraoni,

Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy S. Metzelder,

Assessment of pulse transit time to indicate cardiovascular changes during obstetric spinal anaesthesia† G Sharwood-Smith, J Bruce, G Drummond British.

Positive end-expiratory pressure-induced increase in central venous pressure to predict fluid responsiveness: don’t forget the peripheral venous circulation!

Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm J.A. Alhashemi British Journal of Anaesthesia

Haemodynamic effects of oxytocin given as i. v

Predictor of fluid responsiveness in the ‘grey zone’: augmented pulse pressure variation through a temporary increase in tidal volume J.J. Min, N.-S.

The effect of aorta unfolding and remodelling on oesophageal Doppler readings as probe depth is varied J. Zhang, L.A.H. Critchley, L. Huang British.

J. Renner, O. Broch, P. Duetschke, J. Scheewe, J. Höcker, M. Moseby, O

R. Parke, S. McGuinness, R. Dixon, A. Jull

Presentation transcript:

Peripheral i.v. analysis (PIVA) of venous waveforms for volume assessment in patients undergoing haemodialysis K.M. Hocking, B.D. Alvis, F. Baudenbacher, R. Boyer, C.M. Brophy, I. Beer, S. Eagle British Journal of Anaesthesia Volume 119, Issue 6, Pages 1135-1140 (December 2017) DOI: 10.1093/bja/aex271 Copyright © 2017 The Author(s) Terms and Conditions

Fig. 1 Peripheral i.v. analysis (PIVA) before and after dialysis. Representative peripheral venous waveform obtained from a peripheral i.v. cannula before (A) and after (C) haemodialysis. Fast Fourier transform (FFT) of the corresponding peripheral venous waveform before (B) and after (C) haemodialysis. The frequencies (Hz) F0 and F1 correspond to the respiratory rate and heart rate, respectively. The amplitude of the F1 peak decreases from before (B) to after (D) dialysis, reflecting volume removal. British Journal of Anaesthesia 2017 119, 1135-1140DOI: (10.1093/bja/aex271) Copyright © 2017 The Author(s) Terms and Conditions

Fig. 2 Peripheral i.v. analysis (PIVA) correlation with respiration rate and heart rate. The correlation between the low frequency (A, n=37) F0 signal with the monitored respiratory rate (thoracic impedence measurements) and the higher frequency (B, n=37) F1 signal with the monitored heart rate (electrocardiogram) as compared with the signal obtained with the IntelliVue bedside monitoring system (Philips North America Corp., Andover, MA, USA). British Journal of Anaesthesia 2017 119, 1135-1140DOI: (10.1093/bja/aex271) Copyright © 2017 The Author(s) Terms and Conditions

Fig. 3 Correlation between dialysate volume removed ml kg-1 and change in PIVA signal. This regression analysis represents the linear correlation between the amount of dialysate removed and the percentage change in PIVA signal (R2=0.77) (A; n=31). There was no significant correlation between the amount of intravascular volume removed and change in mPVP (R2=0.03) (B; n=34), MAP (R2=0.013) (C; n=34) and heart rate (R2=0.0003) (D; n=35). PIVA, peripheral i.v. analysis; MAP, mean arterial pressure; mPVP, mean peripheral venous pressure. British Journal of Anaesthesia 2017 119, 1135-1140DOI: (10.1093/bja/aex271) Copyright © 2017 The Author(s) Terms and Conditions

Fig 4 Sensitivity and specificity of PIVA vs PVP for volume of dialysate removed. Receiver operator curve (ROC) of PIVA signal (AUC=0.890) and PVP (AUC=0.482) in patients with a 20 ml kg–1 volume loss during dialysis. PIVA, peripheral i.v. analysis; PVP, peripheral venous pressure; AUC, area under the curve. British Journal of Anaesthesia 2017 119, 1135-1140DOI: (10.1093/bja/aex271) Copyright © 2017 The Author(s) Terms and Conditions