Spectral analysis of respiratory-related hemodynamic variables in simulated hypovolemia: A study in healthy volunteers with spontaneous breathing using a paced breathing activity

Korean Journal of Anesthesiology

Volumn 58, Issue 6, 2010, Pages 542-549

  Shin, Won Jung ^a   Choi, Jae Moon ^a   Kong, Yu Gyeong ^a   Song, Jun Gol ^a   Kim, Young Kug ^a   Hwang, Gyu Sam ^a  

^a University of Ulsan College of Medicine   (South Korea)

Author keywords

Dynamic preload index; Fluid responsiveness; Spectral analysis; Spontaneous breathing

Indexed keywords

ADULT; ARTICLE; ARTIFICIAL VENTILATION; BLOOD PRESSURE MEASUREMENT; BREATHING; BREATHING RATE; FEMALE; FOURIER TRANSFORMATION; HEART PRELOAD; HEART STROKE VOLUME; HUMAN; HUMAN EXPERIMENT; HYPOVOLEMIA; LUNG HEMODYNAMICS; MALE; NORMAL HUMAN; SIMULATION;

EID: 77953986993     PISSN: 20056419     EISSN: 20057563     Source Type: Journal    
DOI: 10.4097/kjae.2010.58.6.542     Document Type: Article

References (30)

1. Tavernier B, Makhotine O, Lebuffe G, Dupont J, Scherpereel P. Systolic pressure variation as a guide to fluid therapy in patients with sepsis-induced hypotension. Anesthesiology 1998; 89: 1313-21.
2. Michard F, Boussat S, Chemla D, Anguel N, Mercat A, Lecarpentier Y, et al. Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 2000; 162: 134-8.
3. Berkenstadt H, Margalit N, Hadani M, Friedman Z, Segal E, Villa Y, et al. Stroke volume variation as a predictor of fluid responsiveness in patients undergoing brain surgery. Anesth Analg 2001; 92: 984-9.
4. Heenen S, De Backer D, Vincent JL. How can the response to volume expansion in patients with spontaneous respiratory movements be predicted? Crit Care 2006; 10: R102.
5. Soubrier S, Saulnier F, Hubert H, Delour P, Lenci H, Onimus T, et al. Can dynamic indicators help the prediction of fluid responsiveness in spontaneously breathing critically ill patients? Intensive Care Med 2007; 33: 1117-24.
6. Shyr MH, Yang CH, Tan PP, Chan SH. Power spectral analysis of arterial and central venous pressure signals during graded hemorrhage in anesthetized rats. Shock 1999; 11: 187-92.
7. Lai HY, Yang CC, Huang FY, Lee Y, Kuo YL, Kuo TB. Respiratory-related arterial pressure variability as an indicator of graded blood loss: involvement of the autonomic nervous system. Clin Sci 2003; 105: 491-7.
8. Egi A, Kawamoto M, Kurita S, Yuge O. Systolic arterial pressure variability reflects circulating blood volume alterations in hemorrhagic shock in rabbits. Shock 2007; 28: 733-40.
9. Kim TH, Kang SJ, Sang BH, Shin WJ, Kim YK, Hwang GS, et al. Effects of magnesium infusion on hemodynamic and autonomic changes in healthy volunteers. Korean J Anesthesiol 2008; 55: 691-9.
10. Cho SK, Hwang GS, Kim YK, Huh IY, Hahm KD, Han SM. Low-dose atropine amplifies cardiac vagal modulation and increases dynamic baroreflex function in humans. Auton Neurosci 2005; 118: 108-15.
11. Cooke WH, Ryan KL, Convertino VA. Lower body negative pressure as a model to study progression to acute hemorrhagic shock in humans. J Appl Physiol 2004; 96: 1249-61.
12. Penaz J. Criteria for set point estimation in the volume clamp method of blood pressure measurement. Physiol Res 1992; 41: 5-10.
13. Wesseling KH, Jansen JR, Settels JJ, Schreuder JJ. Computation of aortic flow from pressure in humans using a nonlinear, three-element model. J Appl Physiol 1993; 74: 2566-73.
14. Leonetti P, Audat F, Girard A, Laude D, Lefrere F, Elghozi JL. Stroke volume monitored by modeling flow from finger arterial pressure waves mirrors blood volume withdrawn by phlebotomy. Clin Auton Res 2004; 14: 176-81.
15. Akselrod S, Gordon D, Madwed JB, Snidman NC, Shannon DC, Cohen RJ. Hemodynamic regulation: investigation by spectral analysis. Am J Physiol 1985; 249: H867-75.
16. Pagani M, Lucini D, Rimoldi O, Furlan R, Piazza S, Porta A, et al. Low and high frequency components of blood pressure variability. Ann N Y Acad Sci 1996; 783: 10-23.
17. Kawase M, Komatsu T, Nishiwaki K, Kobayashi M, Kimura T, Shimada Y. Heart rate variability and arterial blood pressure variability show different characteristic changes during hemorrhage in isoflurane-anesthetized, mechanically ventilated dogs. Anesth Analg 2002; 94: 16-21.
18. Brychta RJ, Shiavi R, Robertson D, Biaggioni I, Diedrich A. A simplified two-component model of blood pressure fluctuation. Am J Physiol Heart Circ Physiol 2007; 292: H1193-203.
19. Toska K, Eriksen M. Respiration-synchronous fluctuations in stroke volume, heart rate and arterial pressure in humans. J Physiol 1993; 472: 501-12.
20. Siebert J, Drabik P, Lango R, Szyndler K. Stroke volume variability and heart rate power spectrum in relation to posture changes in healthy subjects. Med Sci Monit 2004; 10: MT31-7.
21. Pinna GD, Maestri R, Mortara A, La Rovere MT. Cardiorespiratory interactions during periodic breathing in awake chronic heart failure patients. Am J Physiol Heart Circ Physiol 2000; 278: H932-41.
22. Cooke WH, Cox JF, Diedrich AM, Taylor JA, Beightol LA, Ames JE 4th, et al. Controlled breathing protocols probe human autonomic cardiovascular rhythms. Am J Physiol 1998; 274: H709-18.
23. Lee K, Picard G, Beske SD, Hwang GS, Taylor JA. Effects of fitness and age on the response to vagotonic atropine. Auton Neurosci 2008; 139: 60-7.
24. Monge Garcia MI, Gil Cano A, Diaz Monrove JC. Arterial pressure changes during the Valsalva maneuver to predict fluid responsiveness in spontaneously breathing patients. Intensive Care Med 2009; 35: 77-84.
25. Lamia B, Ochagavia A, Monnet X, Chemla D, Richard C, Teboul JL. Echocardiographic prediction of volume responsiveness in critically ill patients with spontaneously breathing activity. Intensive Care Med 2007; 33: 1125-32.
26. De Backer D, Pinsky MR. Can one predict fluid responsiveness in spontaneously breathing patients? Intensive Care Med 2007; 33: 1111-3.
27. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996; 93: 1043-65.
28. Convertino VA, Ludwig DA, Cooke WH. Stroke volume and sympathetic responses to lower-body negative pressure reveal new insight into circulatory shock in humans. Auton Neurosci 2004; 111: 127-34.
29. Goswami N, Loeppky JA, Hinghofer-Szalkay H. LBNP: past protocols and technical considerations for experimental design. Aviat Space Environ Med 2008; 79: 459-71.
30. Jansen JR, Schreuder JJ, Mulier JP, Smith NT, Settels JJ, Wesseling KH. A comparison of cardiac output derived from the arterial pressure wave against thermodilution in cardiac surgery patients. Br J Anaesth 2001; 87: 212-22.