論文

査読有り
2017年8月

Stroke volume variation (SVV) and pulse pressure variation (PPV) as indicators of fluid responsiveness in sevoflurane anesthetized mechanically ventilated euvolemic dogs

JOURNAL OF VETERINARY MEDICAL SCIENCE
  • Yusuke Endo
  • ,
  • Jun Tamura
  • ,
  • Tomohito Ishizuka
  • ,
  • Takaharu Itami
  • ,
  • Kiwamu Hanazono
  • ,
  • Kenjiro Miyoshi
  • ,
  • Tadashi Sano
  • ,
  • Kazuto Yamashita
  • ,
  • William W. Muir

79
8
開始ページ
1437
終了ページ
1445
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1292/jvms.16-0287
出版者・発行元
JAPAN SOC VET SCI

Changes in stroke volume variation (SVV) and pulse pressure variation (PPV) in response to fluid infusion were experimentally evaluated during vecuronium infusion and sevoflurane anesthesia in 5 adult, mechanically ventilated, euvolemic, beagle dogs. Sequential increases in central venous pressure (CVP; 3-7[baseline], 8-12, 13-17, 18-22 and 23-27 mmHg) were produced by infusing lactated Ringer's solution and 6% hydroxyethyl starch solution. Heart rate (beats/min), right atrial pressure (RAP, mmHg), pulmonary arterial pressure (PAP, mmHg), pulmonary capillary wedge pressure (PCWP, mmHg), transpulmonary thermodilution cardiac output (TPTDCO, l/min), stroke volume (SV, ml/beat), arterial blood pressure (ABP, mmHg), extravascular lung water (EVLW, ml), pulmonary vascular permeability index (PVPI, calculated), SVV (%), PPV (%) and systemic vascular resistance (SVR, dynes/sec/cm(5)) were determined at each predetermined CVP range. Heart rate (P=0.019), RAP (P < 0.001), PAP (P < 0.001), PCWP (P < 0.001), TPTDCO (P=0.009) and SV (P=0.04) increased and SVR (P < 0.001), SVV (P < 0.001) and PPV (P < 0.001) decreased associated with each stepwise increase in CVP. Arterial blood pressure, EVLW, PVPI and the arterial partial pressures of oxygen and carbon dioxide did not change. The changes in SVV and PPV directly reflected the fluid load and the minimum threshold values for detecting fluid responsiveness were SVV >= 11% and PPV >= 7% in dogs.

リンク情報
DOI
https://doi.org/10.1292/jvms.16-0287
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28690287
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000411108300021&DestApp=WOS_CPL
ID情報
  • DOI : 10.1292/jvms.16-0287
  • ISSN : 0916-7250
  • eISSN : 1347-7439
  • PubMed ID : 28690287
  • Web of Science ID : WOS:000411108300021

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