The “grey zone” or how to avoid the binary constraint of decision-making;La « zone grise » ou comment éviter la contrainte binaire de la prise de décision

Canadian Journal of Anesthesia

Volumn 62, Issue 11, 2015, Pages 1139-1142

  Cannesson, Maxime ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AREA UNDER THE CURVE; CLINICAL DECISION MAKING; DIAGNOSTIC ACCURACY; EDITORIAL; GREY ZONE; HEART STROKE VOLUME; HEMODYNAMICS; HUMAN; METHODOLOGY; PREDICTION; PREDICTIVE VALUE; PRIORITY JOURNAL; PULSE PRESSURE; PULSE PRESSURE VARIATION; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; BLOOD PRESSURE; FEMALE; FLUID THERAPY; MALE; PHYSIOLOGY;

BLOOD PRESSURE; FEMALE; FLUID THERAPY; HUMANS; MALE; STROKE VOLUME;

EID: 84943355785     PISSN: 0832610X     EISSN: 14968975     Source Type: Journal    
DOI: 10.1007/s12630-015-0465-1     Document Type: Editorial

References (10)

1. Vos JJ, Poterman M, Papineau Salm P, et al. Noninvasive pulse pressure variation and stroke volume variation to predict fluid responsiveness at multiple thresholds: a prospective observational study. Can J Anesth 2015; 62: this issue. DOI:10.1007/s12630-015-0464-2.
2. Cannesson M, Le Manach Y, Hofer CK, et al. Assessing the diagnostic accuracy of pulse pressure variations for the prediction of fluid responsiveness: a “gray zone” approach. Anesthesiology 2011; 115: 231-41.
3. Feldman JM. Is it a bird? Is it a plane? The role of patient monitors in medical decision making. Anesth Analg 2009; 108: 707-10.
4. Ray P, Le Manach Y, Riou B, Houle TT. Statistical evaluation of a biomarker. Anesthesiology 2010; 112: 1023-40.
5. Feinstein AR. The inadequacy of binary models for the clinical reality of three-zone diagnostic decisions. J Clin Epidemiol 1990; 43: 109-13.
6. Michard F, Boussat S, Chemla D, 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.
7. Marik PE, Cavallazzi R, Vasu T, Hirani A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 2009; 37: 2642-7.
8. Biais M, Ehrmann S, Mari A, et al. Clinical relevance of pulse pressure variations for predicting fluid responsiveness in mechanically ventilated intensive care unit patients: the grey zone approach. Crit Care 2014; 18: 587.
9. Michard F, Chemla D, Teboul JL. Applicability of pulse pressure variation: how many shades of grey? Crit Care 2015; 19: 144.
10. Le Manach Y, Hofer CK, Lehot JJ, et al. Can changes in arterial pressure be used to detect changes in cardiac output during volume expansion in the perioperative period? Anesthesiology 2012; 117: 1165-74.