Assessment of Stroke Volume Variation Perioperatively by Using Arterial Pressure with Cardiac Output

Li Wen-jing; Hu Yi-ping; Zhu Min-min

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Assessment of Stroke Volume Variation Perioperatively by Using Arterial Pressure with Cardiac Output

Chinese Medical Sciences Journal Vol. 30, Issue 2, Pages: 95-99(2015)

Original Articles | Updated：2024-04-10

- Assessment of Stroke Volume Variation Perioperatively by Using Arterial Pressure with Cardiac Output
- Affiliations：
  
  Department of Anesthesia, Wuxi No. 2 People's Hospital, Nanjing Medical University, Wuxi, Jiangsu 214000, China
- Author bio：
  
  *Corresponding author Tel: 86-510-82727501, E-mail: yipinghu554@yahoo.com.cn
- Funds：
- DOI：
  CLC：
- Received：25 September 2014，
  
  Published Online：20 April 2015，
  
  Published：2015-04
- Accepted：
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Li Wen-jing, Hu Yi-ping, Zhu Min-min. Assessment of Stroke Volume Variation Perioperatively by Using Arterial Pressure with Cardiac Output[J]. Chinese medical sciences journal, 2015, 30(2): 95-99.
DOI：

Li Wen-jing, Hu Yi-ping, Zhu Min-min. Assessment of Stroke Volume Variation Perioperatively by Using Arterial Pressure with Cardiac Output[J]. Chinese medical sciences journal, 2015, 30(2): 95-99. DOI：

摘要

Abstract

Objective

To observe the sensitivity of stroke volume variation (SVV) for assessing volume change during induction period of general anesthesia.

Methods

Patients who underwent orthopaedic surgery under general anesthesia and mechanical ventilation were divided into two groups randomly. Patients in the group Ⅰwere subjected to progressive central hypovolemia and correction of hypovolemia sequentially; patients in the Group Ⅱ were exposed to hypervolemia alone. Each step was implemented after 5 minutes when the hemodynamics was stable. SVV and cardiac index (CI) were recorded

and Pearson’s product-moment correlation was used to analyze correlation between SVV and CI.

Results

Forty patients were included in this study

20 cases in each group. For group Ⅰ patients

SVV was increased significantly along with blood volume reduction

and changes in CI were negatively correlated with changes in SVV (

=-0.605

0.01); SVV decreased significantly along with correction of blood volume; changes in CI were negatively correlated with changes in SVV (

=-0.651

0.01). For group Ⅱ patients

along with blood volume increase

SVV did not change significantly; changes in CI revealed no significant correlation with changes in SVV (

=0.067

0.05).

Conclusion

SVV is a useful indicator for hypovolemia

but not for hypervolemia.

关键词

Keywords

references

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