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Can a central blood volume deficit be detected by systolic pressure variation during spontaneous breathing?


ABSTRACT: Whether during spontaneous breathing arterial pressure variations (APV) can detect a volume deficit is not established. We hypothesized that amplification of intra-thoracic pressure oscillations by breathing through resistors would enhance APV to allow identification of a reduced cardiac output (CO). This study tested that hypothesis in healthy volunteers exposed to central hypovolemia by head-up tilt.Thirteen healthy volunteers were exposed to central hypovolemia by 45° head-up tilt while breathing through a facemask with 7.5 cmH2O inspiratory and/or expiratory resistors. A brachial arterial catheter was used to measure blood pressure and thus systolic pressure variation (SPV), pulse pressure variation and stroke volume variation . Pulse contour analysis determined stroke volume (SV) and CO and we evaluated whether APV could detect a 10 % decrease in CO.During head-up tilt SV decreased form 91 (±46) to 55 (±24) mL (mean?±?SD) and CO from 5.8 (±2.9) to 4.0 (±1.8) L/min (p?

SUBMITTER: Dahl M 

PROVIDER: S-EPMC4982018 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Can a central blood volume deficit be detected by systolic pressure variation during spontaneous breathing?

Dahl Michael M   Hayes Chris C   Steen Rasmussen Bodil B   Larsson Anders A   Secher Niels H NH  

BMC anesthesiology 20160811 1


<h4>Background</h4>Whether during spontaneous breathing arterial pressure variations (APV) can detect a volume deficit is not established. We hypothesized that amplification of intra-thoracic pressure oscillations by breathing through resistors would enhance APV to allow identification of a reduced cardiac output (CO). This study tested that hypothesis in healthy volunteers exposed to central hypovolemia by head-up tilt.<h4>Methods</h4>Thirteen healthy volunteers were exposed to central hypovole  ...[more]

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