지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 360 - 367 (8page)
- DOI
- 10.17085/apm.21001
이용수
초록· 키워드
오류제보하기
Background: Dynamic preload indices may predict fluid responsiveness in end-stage liver disease. However, their usefulness in patients with altered vascular compliance is uncertain. This study is the first to evaluate whether dynamic indices can reliably predict fluid responsiveness in patients undergoing liver transplantation with a high femoral-to-radial arterial pressure gradient (PG).Methods: 80 liver transplant recipients were retrospectively categorized as having a normal (n = 56) or high (n = 24, difference in systolic pressure ≥ 10 mmHg and/or mean pressure ≥ 5 mmHg) femoral-to-radial arterial PG, measured immediately after radial and femoral arterial cannulation. The ability of dynamic preload indices (stroke volume variation, pulse pressure variation [PPV], pleth variability index) to predict fluid responsiveness was assessed before the surgery. Fluid replacement of 500 ml of crystalloid solution was performed over 15 min. Fluid responsiveness was defined as ≥ 15% increase in the stroke volume index. The area under the receiver-operating characteristic curve (AUC) indicated the prediction of fluid responsiveness.Results: Fourteen patients in the normal, and eight in the high PG group were fluid responders. The AUCs for PPV in the normal, high PG groups and total patients were 0.702 (95% confidence interval [CI] 0.553?0.851, P = 0.008), 0.633 (95% CI 0.384?0.881, P = 0.295) and 0.667 (95% CI 0.537?0.798, P = 0.012), respectively. No other index predicted fluid responsiveness.Conclusion: PPV can be used as a dynamic index of fluid responsiveness in patients with end-stage liver disease but not in patients with altered vascular compliance.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Izzy M / 2020 / Redefining cirrhotic cardiomyopathy for the modern era / Hepatology 71:334~345
Schroeder RA / 2004 / Intraoperative fluid management during orthotopic liver transplantation / J Cardiothorac Vasc Anesth 18:438~441
Gan TJ / 2002 / Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery / Anesthesiology 97:820~826
Grocott MP / 2005 / Perioperative fluid management and clinical outcomes in adults / Anesth Analg 100:1093~1106
Osman D / 2007 / Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge / Crit Care Med 35:64~68
Schroeder RA / 2004 / Intraoperative fluid management during orthotopic liver transplantation / J Cardiothorac Vasc Anesth 18:438~441
Gan TJ / 2002 / Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery / Anesthesiology 97:820~826
Grocott MP / 2005 / Perioperative fluid management and clinical outcomes in adults / Anesth Analg 100:1093~1106
Osman D / 2007 / Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge / Crit Care Med 35:64~68
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
소아 간이식 동안 수액 반응성 예측인자: 수축기와 이완기 시간 변이도와 맥압 변이도의 비교
Anesthesia and Pain Medicine
2015 .01
-
Assessment of fluid responsiveness after tidal volume challenge in renal transplant recipients: a nonrandomized prospective interventional study
Clinical Transplantation and Research
2024 .09
-
The Complexities of Intravenous Fluid Research: Questions of Scale, Volume, and Accumulation
Acute and Critical Care
2016 .01
-
Fluid management in perioperative and critically ill patients
Acute and Critical Care
2019 .01
-
Erratum : Fluid responsiveness in the pediatric population
Korean Journal of Anesthesiology
2021 .01
-
The predictive performance of infusion strategy nomogram based on a fluid kinetic model
Korean Journal of Anesthesiology
2015 .01
-
Fluid management in patients undergoing neurosurgery
Anesthesia and Pain Medicine
2021 .01
-
Fluid responsiveness in the pediatric population
Korean Journal of Anesthesiology
2019 .01
-
Liver
대한외과학회 학술대회 초록집
2016 .11
-
Patients Who Received Liver Transplantation
대한외과학회 학술대회 초록집
2021 .11
-
Percent fluid overload for prediction of fluid de-escalation in critically ill patients in Saudi Arabia: a prospective observational study
Acute and Critical Care
2023 .05
-
Liver transplantation for acute on chronic liver disease; when and how?
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Fluid & Electrolyte in Surgical Patients
대한외과학회 학술대회 초록집
2021 .11
-
Quality of life in patients after liver transplantation: A literature of review
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Assessment of body fluid in critically ill patients with acute kidney injury requiring continuous renal replacement therapy
Kidney Research and Clinical Practice
2020 .01
-
Study on Patients without Underlying Chronic Liver Disease to Improve Survival Outcome in Pediatric Liver Transplantation
대한외과학회 학술대회 초록집
2020 .11
-
Hepatic compartment syndrome, a rare complication after any liver insult or liver transplantation: Three case reports and literature review
Annals of Hepato-Biliary-Pancreatic Surgery
2024 .08
-
Living donor liver transplantation in polycystic liver disease: The recipient liver splitting method
Annals of Hepato-Biliary-Pancreatic Surgery
2022 .12
-
Comparison of pulse pressure variation and pleth variability index in the prone position in pediatric patients under 2 years old
Korean Journal of Anesthesiology
2019 .01
-
Reliability and Responsiveness of the Korean Version of the Trunk Impairment Scale for Stroke Patients
대한물리치료학회지(JKPT)
2015 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0