End-expiratory occlusion manoeuvre does not accurately predict fluid responsiveness in the operating theatre.

Abstract:

BACKGROUND:The objective of this study was to determine whether assessment of stroke volume (SV) and measurement of exhaled end-tidal carbon dioxide [Formula: see text] during an end-expiratory occlusion (EEO) test can predict fluid responsiveness in the operating theatre. METHODS:Forty-two subjects monitored by oesophageal Doppler who required i.v. fluids during surgery were studied. Haemodynamic variables [heart rate, non-invasive arterial pressure, SV, cardiac output (CO), respiratory variation of SV (ΔrespSV), variation of SV during EEO, and E'(CO₂) were measured at baseline, during EEO (Δ(EEO)), and after fluid expansion. Responders were defined by an increase in SV over 15% after infusion of 500 ml of crystalloid solution. RESULTS:Of the 42 subjects, 28 (67%) responded to fluid infusion. A cut-off of >2.3% ΔSV(EEO) predicted fluid responsiveness with an area under the receiver-operating characteristic (AUC) curve of 0.78 [95% confidence interval (95% CI): 0.63-0.89, P=0.003]. The AUC of ΔrespSV was 0.89 (95% CI: 0.76-0.97, P<0.001). With an AUC of 0.68 (95% CI: 0.51-0.81, P=0.07), E'(CO₂)(EEO) was poorly predictive of fluid responsiveness. CONCLUSIONS:ΔSV(EEO) and ΔE'(CO₂) were unable to accurately predict fluid responsiveness during surgery.

journal_name

Br J Anaesth

authors

Guinot PG,Godart J,de Broca B,Bernard E,Lorne E,Dupont H

doi

10.1093/bja/aet582

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

1050-4

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)30791-2

journal_volume

112

pub_type

杂志文章
  • Isoflurane exposure for three hours triggers apoptotic cell death in neonatal macaque brain.

    abstract:Background:Retrospective clinical studies suggest there is a risk for neurodevelopmental impairment following early childhood exposure to anaesthesia. In the developing animal brain, including those of non-human primates (NHPs), anaesthetics induce apoptotic cell death. We previously reported that a 5 h isoflurane (ISO...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aex123

    authors: Noguchi KK,Johnson SA,Dissen GA,Martin LD,Manzella FM,Schenning KJ,Olney JW,Brambrink AM

    更新日期:2017-09-01 00:00:00

  • Local anaesthetic sensitivities of cloned HERG channels from human heart: comparison with HERG/MiRP1 and HERG/MiRP1 T8A.

    abstract:BACKGROUND:Myocardial potassium channels are complexes formed by different subunits. The subunit composition may influence the cardiotoxic action of local anaesthetics. The effects of amide local anaesthetics on HERG channels co-expressed with the putative subunit MiRP1 have not been established. It is also unclear if ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeh026

    authors: Friederich P,Solth A,Schillemeit S,Isbrandt D

    更新日期:2004-01-01 00:00:00

  • Dexmedetomidine as an anaesthetic adjuvant in patients undergoing intracranial tumour surgery: a double-blind, randomized and placebo-controlled study.

    abstract:BACKGROUND:Dexmedetomidine (DEX) has been shown to provide good perioperative haemodynamic stability with decreased intraoperative opioid requirements. It may have neural protective effects, and thus may be a suitable anaesthetic adjuvant to neurosurgical anaesthesia. METHODS:Fifty-four patients scheduled for elective...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/ael220

    authors: Tanskanen PE,Kyttä JV,Randell TT,Aantaa RE

    更新日期:2006-11-01 00:00:00

  • Ultrasonography for ilioinguinal/iliohypogastric nerve blocks in children.

    abstract:BACKGROUND:The ilioinguinal/iliohypogastric nerve block is a popular regional anaesthetic technique for children undergoing inguinal surgery. The success rate is only 70-80% and complications may occur. A prospective randomized double-blinded study was designed to compare the use of ultrasonography with the conventiona...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/aei157

    authors: Willschke H,Marhofer P,Bösenberg A,Johnston S,Wanzel O,Cox SG,Sitzwohl C,Kapral S

    更新日期:2005-08-01 00:00:00

  • Sedation of children requiring artificial ventilation using an infusion of midazolam.

    abstract::The sedation of 50 children aged 6 months to 9 years who had undergone open heart surgery was studied. During artificial ventilation a midazolam infusion was used in conjunction with the administration of morphine (and tubocurarine). Sedation for patients breathing spontaneously with positive airway pressure was conti...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/58.10.1104

    authors: Booker PD,Beechey A,Lloyd-Thomas AR

    更新日期:1986-10-01 00:00:00

  • Althesin as an induction agent for Caesarean section.

    abstract::Thirty patients for elective lower segment Caesarean section were randomly divided into two groups. One group received 50 mulitre/kg of Althesin for induction of anaesthesia and the other, 100 mulitre/kg. The two maternal groups were similar. There was no significant difference in the clinical or biochemical status of...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/47.11.1213

    authors: Holdcroft A,Morgan M,Gordon H,Whitwam JG,White Y

    更新日期:1975-11-01 00:00:00

  • Reduced cerebral embolic signals in beating heart coronary surgery detected by transcranial Doppler ultrasound.

    abstract::Cerebral emboli detected by transcranial Doppler imaging were recorded in 20 patients undergoing multiple-vessel coronary artery bypass surgery, either with or without cardiopulmonary bypass, in a prospective unblinded comparative study. Emboli were recorded continuously from the time of pericardial incision until 10 ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/84.5.629

    authors: Watters MP,Cohen AM,Monk CR,Angelini GD,Ryder IG

    更新日期:2000-05-01 00:00:00

  • Bispectral Index asymmetry and COMFORT score in paediatric intensive care patients.

    abstract:BACKGROUND:The Bispectral Index (BIS) monitor has been suggested as a potential tool to measure depth of sedation in paediatric intensive care unit (PICU) patients. The primary aim of our observational study was to assess the difference in BIS values between the left and right sides of the brain. Secondary aims were to...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aen035

    authors: Froom SR,Malan CA,Mecklenburgh JS,Price M,Chawathe MS,Hall JE,Goodwin N

    更新日期:2008-05-01 00:00:00

  • Protective ventilation of patients with acute respiratory distress syndrome.

    abstract::The majority of patients with acute respiratory distress syndrome (ARDS) require mechanical ventilation. This support provides time for the lungs to heal, but the adverse effects of mechanical ventilation significantly influence patient outcome. Traditionally, these were ascribed to mechanical effects, such as haemody...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aeh031

    authors: Moloney ED,Griffiths MJ

    更新日期:2004-02-01 00:00:00

  • Severe hypertension after stellate ganglion block.

    abstract::Haemodynamic effects may occur after stellate ganglion block (SGB) arising from autonomic imbalance and local anaesthetic infiltration to barosensitive areas. We report seven patients who developed severe hypertension (systolic arterial pressure >200 mm Hg) after SGB in our pain clinic service. We postulate that diffu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei134

    authors: Kimura T,Nishiwaki K,Yokota S,Komatsu T,Shimada Y

    更新日期:2005-06-01 00:00:00

  • Isoflurane impairs odour discrimination learning in rats: differential effects on short- and long-term memory.

    abstract:BACKGROUND:Anaesthetics suppress the formation of lasting memories at concentrations that do not suppress perception, but it is unclear which elements of the complex cascade leading from a conscious experience to a lasting memory trace are disrupted. Experiments in conscious humans suggest that subhypnotic concentratio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer451

    authors: Pearce RA,Duscher P,Van Dyke K,Lee M,Andrei AC,Perouansky M

    更新日期:2012-04-01 00:00:00

  • Inspired oxygen fraction after cardiopulmonary bypass: effects on pulmonary function with regard to endothelin-1 concentrations and venous admixture.

    abstract::Twenty consecutive patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) were allocated at random to group 1 (n = 10, high inspired oxygen fraction (FIO2) after CPB), or group 2 (n = 10, moderate FIO2 after CPB). The effects of each FIO2 on arterial and mixed venous concentrations of endothelin-1 (ET-1...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/84.5.565

    authors: Reber A,Budmiger B,Wenk M,Haefeli WE,Wolff T,Bein T,Skarvan K

    更新日期:2000-05-01 00:00:00

  • The suppression of spinal F-waves by propofol does not predict immobility to painful stimuli in humans.

    abstract:BACKGROUND:The immobilizing effects of volatile anaesthetics are primarily mediated at the spinal level. A suppression of recurrent spinal responses (F-waves), which reflect spinal excitability, has been shown for propofol. We have assessed the concentration-dependent F-wave suppression by propofol and related it to th...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei283

    authors: Baars JH,Tas S,Herold KF,Hadzidiakos DA,Rehberg B

    更新日期:2006-01-01 00:00:00

  • Dose-response relationships for neostigmine antagonism of rocuronium-induced neuromuscular block in children and adults.

    abstract::Dose-response relationships for the antagonism of intermediate-acting neuromuscular blocking agents have not been evaluated previously in children. We have examined the dose-response relationships for neostigmine antagonism of 90% rocuronium-induced neuromuscular block in children and adults, during nitrous oxide-1 MA...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/77.6.710

    authors: Abdulatif M,Mowafi H,al-Ghamdi A,el-Sanabary M

    更新日期:1996-12-01 00:00:00

  • Leukemia inhibitory factor (LIF) potentiates antinociception activity and inhibits tolerance induction of opioids.

    abstract:BACKGROUND:The efficacy of opioids typically decreases after long-term use owing to the development of tolerance. Glial activation and the upregulation of proinflammatory cytokines are related to the induction of tolerance. We investigated the effect of leukemia inhibitory factor (LIF) on morphine analgesia and toleran...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aew247

    authors: Tu HJ,Kang KH,Ho SY,Liou HC,Liou HH,Lin CP,Fu WM

    更新日期:2016-10-01 00:00:00

  • Knee-chest vs horizontal side position during induction of spinal anaesthesia in patients undergoing lumbar disc surgery.

    abstract::In the prone knee-chest position the spread of plain 0.5% bupivacaine in the cerebrospinal fluid and associated haemodynamic changes may be different compared with the horizontal position. A randomized comparison was performed in 40 ASA I-II patients, aged 24-61 yr, undergoing lumbar disc surgery. Subarachnoid injecti...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/79.5.609

    authors: Laakso E,Pitkänen M,Kyttä J,Rosenberg PH

    更新日期:1997-11-01 00:00:00

  • Differential effects of clonidine and dexmedetomidine on gastric emptying and gastrointestinal transit in the rat.

    abstract::We have studied the effect of clonidine, dexmedetomidine and morphine on gastric emptying and gastrointestinal transit in the rat. In one group, each agonist was injected i.p. in 6-12 male Wistar rats. In another group of rats, yohimbine, naloxone or saline was injected with an agonist. At 30 min, radiolabelled saline...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/78.3.301

    authors: Asai T,Mapleson WW,Power I

    更新日期:1997-03-01 00:00:00

  • Quantitative assessment of extradural bupivacaine analgesia.

    abstract::Bupivacaine (0.5%) 20 ml was administered extradurally to six healthy volunteers. It was found that simultaneous application of 10 needles to the skin could evoke pain when analgesia was obtained to one needle stimulation. In addition, a laser beam was used as a quantitative technique to activate simultaneously many c...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/65.5.633

    authors: Adrendt-Nielsen L,Oberg B,Bjerring P

    更新日期:1990-11-01 00:00:00

  • The suppressive effect of halothane on DNA synthesis of immunocytes.

    abstract::Mice, previously immunized with sheep erythrocytes, were anaesthetized with halothane and the splenic lymphoid cells were incubated with 3H-thymidine at 1-h intervals. Abiphasic response was observed; 0.9 and 1.5% halothane reduced 3H-thymidine incorporation into the primed lymphoid cells by 83 and 94% respectively, w...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.12.1129

    authors: Bandoh T,Fujita T

    更新日期:1976-12-01 00:00:00

  • Ultrasonographic guidance for sciatic and femoral nerve blocks in children.

    abstract:BACKGROUND:Recent studies have shown that ultrasound guidance for paediatric regional anaesthesia can improve the quality of upper extremity and neuraxial blocks. We therefore investigated whether ultrasound guidance for sciatic and femoral nerve blocks prolongs sensory blockade in comparison with nerve stimulator guid...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aem092

    authors: Oberndorfer U,Marhofer P,Bösenberg A,Willschke H,Felfernig M,Weintraud M,Kapral S,Kettner SC

    更新日期:2007-06-01 00:00:00

  • Aprotinin, transfusions, and kidney injury in neonates and infants undergoing cardiac surgery.

    abstract:BACKGROUND:A significantly increased risk of acute kidney injury (AKI) with the prophylactic use of aprotinin has been reported in adults undergoing cardiac surgery, but not in children. Blood product transfusions have also been shown to carry an independent risk of AKI. The present study assessed associations between ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes002

    authors: Bojan M,Vicca S,Boulat C,Gioanni S,Pouard P

    更新日期:2012-05-01 00:00:00

  • Comparison of esCCO and transthoracic echocardiography for non-invasive measurement of cardiac output intensive care.

    abstract:BACKGROUND:The esCCO monitor (ECG- estimated Continuous Cardiac Output, Nihon Kohden(®)) is a new non-invasive tool for estimating cardiac output (CO). It derives CO from the pulse wave transit time (PWTT) estimated by the ECG and the plethysmographic wave. An initial calibration is needed to refine the relation linkin...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes298

    authors: Bataille B,Bertuit M,Mora M,Mazerolles M,Cocquet P,Masson B,Moussot PE,Ginot J,Silva S,Larché J

    更新日期:2012-12-01 00:00:00

  • Propofol administered by a manual infusion regimen.

    abstract::We have evaluated the clinical utility and blood propofol concentrations produced with two different infusion regimens for propofol, given to supplement 67% nitrous oxide-morphine anaesthesia. Patients received a standardized three-step infusion of propofol based either on body weight (weight-corrected group) or on a ...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/74.4.362

    authors: Sear JW,Glen JB

    更新日期:1995-04-01 00:00:00

  • Nitrous oxide and wound healing.

    abstract::Following a paravertebral surgical incision, mature, female rats under ether anaesthesia were exposed to either 3% nitrous oxide, continuously for 48 h, or 50% nitrous oxide, 4 h each day for 7 days. For each exposure group, a similar number of rats was exposed to atmospheres containing no nitrous oxide. Wound healing...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/57.6.621

    authors: Algie TA,Seth A,Barbenel JC,Galloway DJ,Gray WM,Spence AA

    更新日期:1985-06-01 00:00:00

  • A measure of consciousness and memory during isoflurane administration: the coherent frequency.

    abstract::The coherent frequency (CF) of the auditory evoked response (AER) is derived using auditory clicks presented at frequencies in the range 5-47 Hz. CF and psychological performance were measured while seven subjects breathed isoflurane in doses increasing from 0% to 0.2%, 0.4% and 0.8% end-tidal concentration and then d...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.5.633

    authors: Munglani R,Andrade J,Sapsford DJ,Baddeley A,Jones JG

    更新日期:1993-11-01 00:00:00

  • Implicit memory formation in sedated ICU patients after cardiac surgery.

    abstract:BACKGROUND:Recent research into memory formation under sedation has generated conflicting results. We investigated explicit and implicit memory in ICU patients during moderate to deep propofol sedation following cardiac surgery. METHODS:Two different methods of memory testing were used; (1). free-association (F-A) wor...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg274

    authors: Clark J,Voss L,Barnard J,Sleigh J

    更新日期:2003-12-01 00:00:00

  • Impact of phenylephrine administration on cerebral tissue oxygen saturation and blood volume is modulated by carbon dioxide in anaesthetized patients.

    abstract:BACKGROUND:Multiple studies have shown that cerebral tissue oxygen saturation (Sct(O(2))) is decreased after phenylephrine treatment. We hypothesized that the negative impact of phenylephrine administration on Sct(O(2)) is affected by arterial blood carbon dioxide partial pressure (Pa(CO(2))) because CO(2) is a powerfu...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/aes023

    authors: Meng L,Gelb AW,Alexander BS,Cerussi AE,Tromberg BJ,Yu Z,Mantulin WW

    更新日期:2012-05-01 00:00:00

  • Effects of dexmedetomidine on adrenocortical function, and the cardiovascular, endocrine and inflammatory responses in post-operative patients needing sedation in the intensive care unit.

    abstract::We have compared the effects of dexmedetomidine and propofol on endocrine, metabolic, inflammatory and cardiovascular responses in patients in the intensive care unit (ICU) after major surgery. Twenty patients who were expected to require 8 h of post-operative sedation and ventilation were allocated randomly to receiv...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/86.5.650

    authors: Venn RM,Bryant A,Hall GM,Grounds RM

    更新日期:2001-05-01 00:00:00

  • Neuromuscular dose-response studies: determining sample size.

    abstract:BACKGROUND:Investigators planning dose-response studies of neuromuscular blockers have rarely used a priori power analysis to determine the minimal sample size their protocols require. Institutional Review Boards and peer-reviewed journals now generally ask for this information. This study outlines a proposed method fo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeq310

    authors: Kopman AF,Lien CA,Naguib M

    更新日期:2011-02-01 00:00:00

  • Extradural block in patients who have previously undergone caesarean section.

    abstract::The 119 patients who had undergone previous Caesarean section lumbar extradural block was administered to 77 (65%); the other 42 (35%) received analgesia with ketobemidone 0.8-1.0 ml i.m. or nitrous oxide in oxygen intermittently, or both. Controlled i.v. infusion of oxytocin for induction or acceleration of labour wa...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.8.827

    authors: Carlsson C,Nybell-Lindahl G,Ingemarsson I

    更新日期:1980-08-01 00:00:00