Presentation is loading. Please wait.

Presentation is loading. Please wait.

Predicting fluid responsiveness in mechanically ventilated children under general anaesthesia using dynamic parameters and transthoracic echocardiography 

Published byJessica Shepherd Modified over 5 years ago

Similar presentations

Presentation on theme: "Predicting fluid responsiveness in mechanically ventilated children under general anaesthesia using dynamic parameters and transthoracic echocardiography "— Presentation transcript:

1 Predicting fluid responsiveness in mechanically ventilated children under general anaesthesia using dynamic parameters and transthoracic echocardiography  E. Pereira de Souza Neto, S. Grousson, F. Duflo, C. Ducreux, H. Joly, J. Convert, C. Mottolese, F. Dailler, M. Cannesson  British Journal of Anaesthesia  Volume 106, Issue 6, Pages (June 2011) DOI: /bja/aer090 Copyright © 2011 The Author(s) Terms and Conditions

2 Fig 1 Individual values of respiratory variations in peak aortic velocity in R and NR to VE. ▵Vpeak, respiratory variations in aortic flow peak velocity. British Journal of Anaesthesia  , DOI: ( /bja/aer090) Copyright © 2011 The Author(s) Terms and Conditions

3 Fig 2 The area under the ROC curve for all variables. In the 0–6 age group, the area under the ROC curve (95% confidence interval) for all variables was: for ▵Vpeak 1.0 (0.82–1.00), for ▵POP 0.51 (0.28–0.74), for PVI 0.63 (0.38–0.84), for ▵PP 0.71 (0.47–0.89), for PPV 0.52 (0.29–0.76) and for LVEDA 0.59 (0.35–0.81). In the 6–14 age group the area under the ROC curve (95% confidence interval) for all variables was: for ▵Vpeak 1.0 (0.73–1.00), for ▵POP 0.57 (0.27–0.84), for PVI 0.54 (0.24–0.82), for ▵PP 0.60 (0.29–0.86), for PPV 0.60 (0.29–0.86), and for LVEDA 0.71 (0.39–0.93). ▵PP, manually calculated respiratory variation in arterial pulse pressure; PPV, automatically calculated respiratory variation in arterial pulse pressure; ▵POP, manually calculated respiratory variations in the pulse oximeter plethysmographic waveform amplitude; PVI, pleth variability index; LVEDA, left ventricular end-diastolic area; ▵Vpeak, respiratory variations in aortic flow peak velocity. British Journal of Anaesthesia  , DOI: ( /bja/aer090) Copyright © 2011 The Author(s) Terms and Conditions

4 Fig 3 Box plots showing the haemodynamic values in R and NR to VE. ▵PP, manually calculated respiratory variation in arterial pulse pressure; PPV, automatically calculated respiratory variation in arterial pulse pressure; ▵POP, manually calculated respiratory variations in the pulse oximeter plethysmographic waveform amplitude; PVI, pleth variability index; LVEDA, left ventricular end-diastolic area; ▵Vpeak, respiratory variations in aortic flow peak velocity. Open circles, filled circle, and filled square represent extreme values for each category. British Journal of Anaesthesia  , DOI: ( /bja/aer090) Copyright © 2011 The Author(s) Terms and Conditions

Download ppt "Predicting fluid responsiveness in mechanically ventilated children under general anaesthesia using dynamic parameters and transthoracic echocardiography "

Similar presentations

Anesthes. 2010;113(1): doi: /ALN.0b013e3181da839f Figure Legend:

Anesthes. 2010;113(1): doi: /ALN.0b013e3181da839f Figure Legend:
Cardiac output can be measured with the transpulmonary thermodilution method in a paediatric animal model with a left-to-right shunt  A. Nusmeier, W.P.

Cardiac output can be measured with the transpulmonary thermodilution method in a paediatric animal model with a left-to-right shunt  A. Nusmeier, W.P.
Human factors in anaesthesia: lessons from aviation

Human factors in anaesthesia: lessons from aviation
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,

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,
Prediction of fluid responsiveness by a continuous non-invasive assessment of arterial pressure in critically ill patients: comparison with four other.

Prediction of fluid responsiveness by a continuous non-invasive assessment of arterial pressure in critically ill patients: comparison with four other.
G.B. Drummond, A. Bates, J. Mann, D.K. Arvind 

G.B. Drummond, A. Bates, J. Mann, D.K. Arvind 
Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical.

Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical.
Evaluation of the pulse pressure variation index as a predictor of fluid responsiveness during orthotopic liver transplantation  G. Gouvêa, R. Diaz, L.

Evaluation of the pulse pressure variation index as a predictor of fluid responsiveness during orthotopic liver transplantation  G. Gouvêa, R. Diaz, L.
Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients  A.

Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients  A.
Precision and accuracy of a new device (CNAP™) for continuous non-invasive arterial pressure monitoring: assessment during general anaesthesia  C Jeleazcov,

Precision and accuracy of a new device (CNAP™) for continuous non-invasive arterial pressure monitoring: assessment during general anaesthesia  C Jeleazcov,
AnestAssist British Journal of Anaesthesia

AnestAssist British Journal of Anaesthesia
M. Daunderer, M. S. Feuerecker, B. Scheller, N. B. Pape, D

M. Daunderer, M. S. Feuerecker, B. Scheller, N. B. Pape, D
Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness.

Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness.
Uncalibrated arterial pressure waveform analysis for cardiac output monitoring is biased by low peripheral resistance in patients with intracranial haemorrhage† 

Uncalibrated arterial pressure waveform analysis for cardiac output monitoring is biased by low peripheral resistance in patients with intracranial haemorrhage† 
AepEX monitor for the measurement of hypnotic depth in patients undergoing balanced xenon anaesthesia  C. Stoppe, D. Peters, A.V. Fahlenkamp, J. Cremer,

AepEX monitor for the measurement of hypnotic depth in patients undergoing balanced xenon anaesthesia  C. Stoppe, D. Peters, A.V. Fahlenkamp, J. Cremer,
C. Stoppe, J. Cremer, S. Rex, G. Schälte, A. V. Fahlenkamp, R

C. Stoppe, J. Cremer, S. Rex, G. Schälte, A. V. Fahlenkamp, R
R. Pizov, A. Eden, D. Bystritski, E. Kalina, A. Tamir, S. Gelman 

R. Pizov, A. Eden, D. Bystritski, E. Kalina, A. Tamir, S. Gelman 
P. Lauscher, H. Kertscho, P. Enselmann, S. Lauscher, O. Habler, J

P. Lauscher, H. Kertscho, P. Enselmann, S. Lauscher, O. Habler, J
Prediction of arterial oxygen partial pressure after changes in FiO2: validation and clinical application of a novel formula†  H.M. Al-Otaibi, J.G. Hardman 

Prediction of arterial oxygen partial pressure after changes in FiO2: validation and clinical application of a novel formula†  H.M. Al-Otaibi, J.G. Hardman 
High PEEP in acute respiratory distress syndrome: quantitative evaluation between improved arterial oxygenation and decreased oxygen delivery  M. Chikhani,

High PEEP in acute respiratory distress syndrome: quantitative evaluation between improved arterial oxygenation and decreased oxygen delivery  M. Chikhani,

Similar presentations

Ads by Google