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Evaluation of least significant changes of pulse contour analysis-derived parameters
Annals of Intensive Care ( IF 5.7 ) Pub Date : 2019-10-11 , DOI: 10.1186/s13613-019-0590-z Hugues de Courson , Loic Ferrer , Grégoire Cane , Eric Verchère , Musa Sesay , Karine Nouette-Gaulain , Matthieu Biais
中文翻译:
评估脉搏轮廓分析衍生参数的最小有效变化
更新日期:2019-10-11
Annals of Intensive Care ( IF 5.7 ) Pub Date : 2019-10-11 , DOI: 10.1186/s13613-019-0590-z Hugues de Courson , Loic Ferrer , Grégoire Cane , Eric Verchère , Musa Sesay , Karine Nouette-Gaulain , Matthieu Biais
Background
Many maneuvers assessing fluid responsiveness (minifluid challenge, lung recruitment maneuver, end-expiratory occlusion test, passive leg raising) are considered as positive when small variations in cardiac index, stroke volume index, stroke volume variation or pulse pressure variation occur. Pulse contour analysis allows continuous and real-time cardiac index, stroke volume, stroke volume variation and pulse pressure variation estimations. To use these maneuvers with pulse contour analysis, the knowledge of the minimal change that needs to be measured by a device to recognize a real change (least significant change) has to be studied. The aim of this study was to evaluate the least significant change of cardiac index, stroke volume index, stroke volume variation and pulse pressure variation obtained using pulse contour analysis (ProAQT®, Pulsion Medical System, Germany).Methods
In this observational study, we included 50 mechanically ventilated patients undergoing neurosurgery in the operating room. Cardiac index, stroke volume index, pulse pressure variation and stroke volume variation obtained using ProAQT® (Pulsion Medical System, Germany) were recorded every 12 s during 15-min steady-state periods. Least significant changes were calculated every minute.Results
Least significant changes statistically differed over time for cardiac index, stroke volume index, pulse pressure variation and stroke volume variation (p < 0.001). Least significant changes ranged from 1.3 to 0.7% for cardiac index, from 1.3 to 0.8% for stroke volume index, from 10 to 4.9% for pulse pressure variation and from 10.8 to 4.3% for stroke volume variation.Conclusion
To conclude, the present study suggests that pulse contour analysis is able to detect rapid and small changes in cardiac index and stroke volume index, but the interpretation of rapid and small changes of pulse pressure variation and stroke volume variation must be done with caution.中文翻译:
评估脉搏轮廓分析衍生参数的最小有效变化