Positive end-expiratory pressure-induced increase in external jugular venous pressure does not predict fluid responsiveness in laparoscopic prostatectomy

Positive end-expiratory pressure-induced increase in external jugular venous pressure does not... Background Dynamic change in central venous pressure (CVP) was associated with fluid responsiveness. External jugular venous pressure (EJVP) may reliably estimate CVP and have the advantages of being less invasive. We investigated whether increase in EJVP induced by positive end-expiratory pressure (PEEP) could be a reliable predictor of fluid responsiveness in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). Methods Fifty patients who underwent RALP with steep Trendelenburg position were enrolled. PEEP of 10 cmH O was applied for 5 min and then 300 ml of colloid was administered. EJVP, stroke volume variation (SVV), and cardiac index calculated by pulse contour method were measured before and after the PEEP challenge and colloid administration. Increase in cardiac index > 10% was used to define the fluid responsiveness. Results Twenty-six patients were fluid responders. Neither the increase in EJVP after the initial PEEP nor SVV was signifi - cantly different between responders and non-responders. They were not significantly correlated with an increase in cardiac index. The areas under the receiver operating characteristic curve (AUC) of these two variables were not significantly greater than 0.5. However, a post hoc analysis revealed that AUC of a decrease in EJVP after removal of PEEP was significantly greater than 0.50. Conclusion Our http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Anesthesia Springer Journals

Positive end-expiratory pressure-induced increase in external jugular venous pressure does not predict fluid responsiveness in laparoscopic prostatectomy

Download PDF
10 pages
Read Article

Loading next page...
 
/lp/springer_journal/positive-end-expiratory-pressure-induced-increase-in-external-jugular-Ts6RYoqhbG
Publisher
Springer Journals
Copyright
Copyright © 2018 by Japanese Society of Anesthesiologists
Subject
Medicine & Public Health; Anesthesiology; Pain Medicine; Intensive / Critical Care Medicine; Emergency Medicine
ISSN
0913-8668
eISSN
1438-8359
DOI
10.1007/s00540-018-2475-y
Publisher site
See Article on Publisher Site

Abstract

Background Dynamic change in central venous pressure (CVP) was associated with fluid responsiveness. External jugular venous pressure (EJVP) may reliably estimate CVP and have the advantages of being less invasive. We investigated whether increase in EJVP induced by positive end-expiratory pressure (PEEP) could be a reliable predictor of fluid responsiveness in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). Methods Fifty patients who underwent RALP with steep Trendelenburg position were enrolled. PEEP of 10 cmH O was applied for 5 min and then 300 ml of colloid was administered. EJVP, stroke volume variation (SVV), and cardiac index calculated by pulse contour method were measured before and after the PEEP challenge and colloid administration. Increase in cardiac index > 10% was used to define the fluid responsiveness. Results Twenty-six patients were fluid responders. Neither the increase in EJVP after the initial PEEP nor SVV was signifi - cantly different between responders and non-responders. They were not significantly correlated with an increase in cardiac index. The areas under the receiver operating characteristic curve (AUC) of these two variables were not significantly greater than 0.5. However, a post hoc analysis revealed that AUC of a decrease in EJVP after removal of PEEP was significantly greater than 0.50. Conclusion Our

Journal

Journal of Anesthesia – Springer Journals

Published: Feb 27, 2018

References

  • Anesthetic management and one-year mortality after noncardiac surgery
    Monk, TG; Saini, V; Weldon, BC; Sigl, JC
  • Relationship between intraoperative mean arterial pressure and clinical outcomes after noncardiac surgery: toward an empirical definition of hypotension
    Walsh, M; Devereaux, PJ; Garg, AX; Kurz, A; Turan, A; Rodseth, RN; Cywinski, J; Thabane, L; Sessler, DI
  • The ability of stroke volume variations obtained with Vigileo/FloTrac system to monitor fluid responsiveness in mechanically ventilated patients
    Cannesson, M; Musard, H; Desebbe, O; Boucau, C; Simon, R; Henaine, R; Lehot, JJ
  • Abilities of pulse pressure variations and stroke volume variations to predict fluid responsiveness in prone position during scoliosis surgery
    Biais, M; Bernard, O; Ha, JC; Degryse, C; Sztark, F
  • Prediction of fluid responsiveness in patients during cardiac surgery
    Rex, S; Brose, S; Metzelder, S; Huneke, R; Schalte, G; Autschbach, R; Rossaint, R; Buhre, W
  • Hemodynamic perturbations during robot-assisted laparoscopic radical prostatectomy in 45 degrees Trendelenburg position
    Lestar, M; Gunnarsson, L; Lagerstrand, L; Wiklund, P; Odeberg-Wernerman, S
  • Effects of posture and prolonged pneumoperitoneum on hemodynamic parameters during laparoscopy
    Meininger, D; Westphal, K; Bremerich, DH; Runkel, H; Probst, M; Zwissler, B; Byhahn, C
  • Cerebral haemodynamic physiology during steep Trendelenburg position and CO(2) pneumoperitoneum
    Kalmar, AF; Dewaele, F; Foubert, L; Hendrickx, JF; Heeremans, EH; Struys, MM; Absalom, A
  • Time course of cerebrovascular autoregulation during extreme Trendelenburg position for robotic-assisted prostatic surgery
    Schramm, P; Treiber, AH; Berres, M; Pestel, G; Engelhard, K; Werner, C; Closhen, D
  • Prediction of fluid responsiveness using dynamic preload indices in patients undergoing robot-assisted surgery with pneumoperitoneum in the Trendelenburg position
    Chin, JH; Lee, EH; Hwang, GS; Choi, WJ
  • Pneumoperitoneum affects stroke volume variation in humans
    Wajima, Z; Shiga, T; Imanaga, K
  • Unreliable tracking ability of the third-generation FloTrac/Vigileo system for changes in stroke volume after fluid administration in patients with high systemic vascular resistance during laparoscopic surgery
    Chin, JH; Kim, WJ; Choi, JH; Han, YA; Kim, SO; Choi, WJ
  • Influence of respiratory rate on stroke volume variation in mechanically ventilated patients
    Backer, D; Taccone, FS; Holsten, R; Ibrahimi, F; Vincent, JL
  • Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients
    Reuter, DA; Bayerlein, J; Goepfert, MS; Weis, FC; Kilger, E; Lamm, P; Goetz, AE
  • The impact of inspiratory pressure on stroke volume variation and the evaluation of indexing stroke volume variation to inspiratory pressure under various preload conditions in experimental animals
    Kawazoe, Y; Nakashima, T; Iseri, T; Yonetani, C; Ueda, K; Fujimoto, Y; Kato, S
  • Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares
    Marik, PE; Baram, M; Vahid, B
  • Ventilator-induced central venous pressure variation can predict fluid responsiveness in post-operative cardiac surgery patients
    Cherpanath, TG; Geerts, BF; Maas, JJ; Wilde, RB; Groeneveld, AB; Jansen, JR
  • Predicting cardiac output responses to passive leg raising by a PEEP-induced increase in central venous pressure, in cardiac surgery patients
    Geerts, BF; Aarts, LP; Groeneveld, AB; Jansen, JR
  • The use of respiratory variations in right atrial pressure to predict the cardiac output response to PEEP
    Magder, S; Lagonidis, D; Erice, F
  • Comparison of external jugular and central venous pressures in mechanically ventilated patient
    Parker, JL; Flucker, CJ; Harvey, N; Maguire, AM; Russell, WC; Thompson, JP
  • Comparison of central venous and external jugular venous pressures during repair of proximal femoral fracture
    Leonard, AD; Allsager, CM; Parker, JL; Swami, A; Thompson, JP
  • Comparison of positive end-expiratory pressure-induced increase in central venous pressure and passive leg raising to predict fluid responsiveness in patients with atrial fibrillation
    Kim, N; Shim, JK; Choi, HG; Kim, MK; Kim, JY; Kwak, YL
  • What is a fluid challenge?
    Cecconi, M; Parsons, AK; Rhodes, A
  • Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature
    Marik, PE; Cavallazzi, R; Vasu, T; Hirani, A
  • Dynamic variables of fluid responsiveness during pneumoperitoneum and laparoscopic surgery
    Hoiseth, LO; Hoff, IE; Myre, K; Landsverk, SA; Kirkeboen, KA
  • Dynamic arterial elastance in predicting arterial pressure increase after fluid challenge during robot-assisted laparoscopic prostatectomy: a prospective observational study
    Seo, H; Kong, YG; Jin, SJ; Chin, JH; Kim, HY; Lee, YK; Hwang, JH; Kim, YK
  • Anaesthesia for robotic-assisted radical prostatectomy: considerations for laparoscopy in the Trendelenburg position
    Phong, SV; Koh, LK
  • Cardiac and hemodynamic consequences during capnoperitoneum and steep Trendelenburg positioning: lessons learned from robot-assisted laparoscopic prostatectomy
    Rosendal, C; Markin, S; Hien, MD; Motsch, J; Roggenbach, J
  • Effect of tidal volume, intrathoracic pressure, and cardiac contractility on variations in pulse pressure, stroke volume, and intrathoracic blood volume
    Mesquida, J; Kim, HK; Pinsky, MR
  • Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs
    Duperret, S; Lhuillier, F; Piriou, V; Vivier, E; Metton, O; Branche, P; Annat, G; Bendjelid, K; Viale, JP
  • Static and dynamic components of esophageal and central venous pressure during intra-abdominal hypertension
    Valenza, F; Chevallard, G; Porro, GA; Gattinoni, L
  • Pulse pressure variation and stroke volume variation during increased intra-abdominal pressure: an experimental study
    Jacques, D; Bendjelid, K; Duperret, S; Colling, J; Piriou, V; Viale, JP
  • Cardiovascular and ventilatory consequences of laparoscopic surgery
    Atkinson, TM; Giraud, GD; Togioka, BM; Jones, DB; Cigarroa, JE
  • Adaptations of the peripheral circulation to PEEP
    Nanas, S; Magder, S
  • Bench-to-bedside review: an approach to hemodynamic monitoring–Guyton at the bedside
    Magder, S
  • Effect of positive end-expiratory pressure on central venous pressure in patients under mechanical ventilation
    Shojaee, M; Sabzghabaei, A; Alimohammadi, H; Derakhshanfar, H; Amini, A; Esmailzadeh, B
  • Preventing complications of central venous catheterization
    McGee, DC; Gould, MK
  • Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy
    Metzelder, S; Coburn, M; Fries, M; Reinges, M; Reich, S; Rossaint, R; Marx, G; Rex, S
  • Systematic review of uncalibrated arterial pressure waveform analysis to determine cardiac output and stroke volume variation
    Slagt, C; Malagon, I; Groeneveld, AB
  • Authentication of radial versus femoral arterial pressure waveform-derived cardiac output with transesophageal echocardiography-derived cardiac output measurements in patients undergoing on-pump coronary bypass surgery
    Maddali, MM; Waje, ND; Sathiya, PM
  • Cross-comparisons of trending accuracies of continuous cardiac-output measurements: pulse contour analysis, bioreactance, and pulmonary-artery catheter
    Lamia, B; Kim, HK; Severyn, DA; Pinsky, MR
  • Predicting the need for fluid therapy-does fluid responsiveness work?
    Ueyama, H; Kiyonaka, S

You’re reading a free preview. Subscribe to read the entire article.

Try 2 weeks free now

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

or browse the journals available

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off

Sign up
for free
Start 14 day
Free Trial