Relation between respiratory variations in pulse oximetry plethysmographic waveform amplitude and arterial pulse pressure in ventilated patients View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2005-10

AUTHORS

Maxime Cannesson, Cyril Besnard, Pierre G Durand, Julien Bohé, Didier Jacques

ABSTRACT

INTRODUCTION: Respiratory variation in arterial pulse pressure is a reliable predictor of fluid responsiveness in mechanically ventilated patients with circulatory failure. The main limitation of this method is that it requires an invasive arterial catheter. Both arterial and pulse oximetry plethysmographic waveforms depend on stroke volume. We conducted a prospective study to evaluate the relationship between respiratory variation in arterial pulse pressure and respiratory variation in pulse oximetry plethysmographic (POP) waveform amplitude. METHOD: This prospective clinical investigation was conducted in 22 mechanically ventilated patients. Respiratory variation in arterial pulse pressure and respiratory variation in POP waveform amplitude were recorded simultaneously in a beat-to-beat evaluation, and were compared using a Spearman correlation test and a Bland-Altman analysis. RESULTS: There was a strong correlation (r2 = 0.83; P < 0.001) and a good agreement (bias = 0.8 +/- 3.5%) between respiratory variation in arterial pulse pressure and respiratory variation in POP waveform amplitude. A respiratory variation in POP waveform amplitude value above 15% allowed discrimination between patients with respiratory variation in arterial pulse pressure above 13% and those with variation of 13% or less (positive predictive value 100%). CONCLUSION: Respiratory variation in arterial pulse pressure above 13% can be accurately predicted by a respiratory variation in POP waveform amplitude above 15%. This index has potential applications in patients who are not instrumented with an intra-arterial catheter. More... »

PAGES

r562

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/cc3799

DOI

http://dx.doi.org/10.1186/cc3799

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026544458

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16277719


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