The clinical relevance of systolic pressure variations in anesthetized nonhypotensive patients.

Abstract:

OBJECTIVE:To assess the accuracy of respiratory-induced systolic pressure variation and its components to detect low left ventricular preload. DESIGN:Prospective study. SETTING:University hospital. PARTICIPANTS:Sixty-seven patients undergoing major surgery under general anesthesia. INTERVENTIONS:Transesophageal echocardiographic measurements during apnea and mechanical ventilation. MEASUREMENTS AND MAIN RESULTS:Respiratory-induced systolic pressure variation and its components and left ventricular end-diastolic area obtained by transesophageal echocardiography were noted simultaneously. Arterial pressure indices did not allow a reliable diagnosis of a low left ventricular end-diastolic area using a cut-off value of 7.9 cm(2)/m(2) (inferior boundary of the interquartile range of the areas measured in the authors' group). CONCLUSIONS:These results suggest that systolic pressure variations noticed after induction of general anesthesia do not reflect low left ventricular preload in nonhypotensive patients.

authors

Dalibon N,Guenoun T,Journois D,Frappier J,Safran D,Fischler M

doi

10.1053/jcan.2003.45

keywords:

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

188-92

issue

2

eissn

1053-0770

issn

1532-8422

pii

S105307700300020X

journal_volume

17

pub_type

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