A pilot study of the pleth variability index as an indicator of volume-responsive hypotension in newborn infants during surgery

Journal of Anesthesia

Volumn 27, Issue 2, 2013, Pages 192-198

  Bagci, Soyhan ^a   Müller, Nicole ^a   Müller, Andreas ^a   Heydweiller, Andreas ^a   Bartmann, Peter ^a   Franz, Axel R ^a,b  

^a UNIVERSITY OF BONN   (Germany)

^b UNIVERSITY OF TÜBINGEN   (Germany)

Author keywords

Fluid responsiveness; Newborn; Noninvasive monitoring; Plethysmography; Surgery

Indexed keywords

HYPERTENSIVE FACTOR; INDICATOR;

ARTICLE; CARDIOVASCULAR PARAMETERS; CLINICAL INDICATOR; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; HUMAN; HYPOTENSION; MEAN ARTERIAL PRESSURE; NEWBORN; NEWBORN DISEASE; NEWBORN SURGERY; PATIENT MONITORING; PILOT STUDY; PLETH VARIABILITY INDEX; PULSE OXIMETRY; PULSE PRESSURE; SENSITIVITY AND SPECIFICITY;

ARTERIAL PRESSURE; BLOOD VOLUME; ELECTROCARDIOGRAPHY; HEART RATE; HUMANS; HYPOTENSION; HYPOVOLEMIA; INFANT, NEWBORN; ISOTONIC SOLUTIONS; MONITORING, INTRAOPERATIVE; PILOT PROJECTS; PLASMA SUBSTITUTES; PLETHYSMOGRAPHY; PREDICTIVE VALUE OF TESTS; RESPIRATION, ARTIFICIAL; SURGICAL PROCEDURES, OPERATIVE;

EID: 84885027583     PISSN: 09138668     EISSN: 14388359     Source Type: Journal    
DOI: 10.1007/s00540-012-1511-6     Document Type: Article

References (30)

1. Chappell D, Jacob M, Hofmann-Kiefer K, Conzen P, Rehm M. A rational approach to perioperative fluid management. Anesthesiology. 2008;109(4):723-40.
2. Venn R, Steele A, Richardson P, Poloniecki J, Grounds M, Newman P. Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. Br J Anaesth. 2002;88(1):65-71.
3. Wakeling HG, McFall MR, Jenkins CS, Woods WG, Miles WF, Barclay GR, Fleming SC. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005;95(5):634-42.
4. Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134(1):172-8.
5. Kumar A, Anel R, Bunnell E, Habet K, Zanotti S, Marshall S, Neumann A, Ali A, Cheang M, Kavinsky C, Parrillo JE. Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects. Crit Care Med. 2004;32(3):691-9.
6. Feissel M, Michard F, Mangin I, Ruyer O, Faller JP, Teboul JL. Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock. Chest. 2001;119(3):867-73.
7. Hofer CK, Muller SM, Furrer L, Klaghofer R, Genoni M, Zollinger A. Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting. Chest. 2005;128(2):848-54.
8. Wiesenack C, Fiegl C, Keyser A, Prasser C, Keyl C. Assessment of fluid responsiveness in mechanically ventilated cardiac surgical patients. Eur J Anaesthesiol. 2005;22(9):658-65.
9. Cannesson M, Besnard C, Durand PG, Bohe J, Jacques D. Relation between respiratory variations in pulse oximetry plethysmographic waveform amplitude and arterial pulse pressure in ventilated patients. Crit Care. 2005;9(5):R562-8.
10. Desebbe O, Cannesson M. Using ventilation-induced plethysmographic variations to optimize patient fluid status. Curr Opin Anaesthesiol. 2008;21(6):772-8.
11. Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O, Lehot JJ. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008;101(2):200-6.
12. Yin JY, Ho KM. Use of plethysmographic variability index derived from the Massimo((R)) pulse oximeter to predict fluid or preload responsiveness: a systematic review and meta-analysis. Anaesthesia. 2012;67(7):777-83. [Meta-Analysis Research Support, Non-U.S. Gov't Review].
13. Feldman JM, Sussman E, Singh D, Friedman BJ. Is the pleth variability index a surrogate for pulse pressure variation in a pediatric population undergoing spine fusion? Paediatr Anaesth. 2012;22(3):250-5.
14. Watkins AM, West CR, Cooke RW. Blood pressure and cerebral haemorrhage and ischaemia in very low birthweight infants. Early Hum Dev. 1989;19(2):103-10.
15. Versmold HT, Kitterman JA, Phibbs RH, Gregory GA, Tooley WH. Aortic blood pressure during the first 12 hours of life in infants with birth weight 610 to 4,220 grams. Pediatrics. 1981;67(5):607-13. [Comparative Study Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.].
16. Nuntnarumit P, Yang W, Bada-Ellzey HS. Blood pressure measurements in the newborn. Clin Perinatol. 1999;26(4):981-96.
17. Cannesson M, Delannoy B, Morand A, Rosamel P, Attof Y, Bastien O, Lehot JJ. Does the Pleth variability index indicate the respiratory-induced variation in the plethysmogram and arterial pressure waveforms? Anesth Analg. 2008;106(4):1189-94. table of contents.
18. Friis-Hansen B. Water distribution in the foetus and newborn infant. Acta Paediatr Scand Suppl. 1983;305:7-11.
19. Murat I, Humblot A, Girault L, Piana F. Neonatal fluid management. Best Pract Res Clin Anaesthesiol. 2010;24(3):365-74.
20. Mupanemunda RH. Cardiovascular support of the sick neonate. Current Paediatrics. 2006;16(3):176-81.
21. Blackburn ST. Maternal, fetal, & neonatal physiology: a clinical perspective. 3rd ed. Philadelphia: Saunders; 2007. p. 301-2.
22. Cannesson M, Slieker J, Desebbe O, Bauer C, Chiari P, Henaine R, Lehot JJ. The ability of a novel algorithm for automatic estimation of the respiratory variations in arterial pulse pressure to monitor fluid responsiveness in the operating room. Anesth Analg. 2008;106(4):1195-200. table of contents.
23. Forget P, Lois F, de Kock M. Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management. Anesth Analg. 2010;111(4):910-4.
24. Latini G, Dipaola L, De Felice C. First day of life reference values for pleth variability index in spontaneously breathing term newborns. Neonatology. 2012;101(3):179-82.
25. Lima A, Bakker J. Noninvasive monitoring of peripheral perfusion. Intensive Care Med. 2005;31(10):1316-26.
26. Shelley KH, Jablonka DH, Awad AA, Stout RG, Rezkanna H, Silverman DG. What is the best site for measuring the effect of ventilation on the pulse oximeter waveform? Anesth Analg. 2006;103(2):372-7. table of contents.
27. Desebbe O, Boucau C, Farhat F, Bastien O, Lehot JJ, Cannesson M. The ability of pleth variability index to predict the hemodynamic effects of positive end-expiratory pressure in mechanically ventilated patients under general anesthesia. Anesth Analg. 2010;110(3):792-8.
28. Tsuchiya M, Yamada T, Asada A. Pleth variability index predicts hypotension during anesthesia induction. Acta Anaesthesiol Scand. 2010;54(5):596-602.
29. Zimmermann M, Feibicke T, Keyl C, Prasser C, Moritz S, Graf BM, Wiesenack C. Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery. Eur J Anaesthesiol. 2010;27(6):555-61.
30. Hummler HD, Engelmann A, Pohlandt F, Hogel J, Franz AR. Decreased accuracy of pulse oximetry measurements during low perfusion caused by sepsis: is the perfusion index of any value? Intensive Care Med. 2006;32(9):1428-31.