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- Title
Reliability of stroke volume or pulse pressure variation as dynamic predictors of fluid responsiveness in laparoscopic surgery: a systematic review.
- Authors
Chen, Jiaxin; Zhao, Shuhua; Zhu, Qianqian
- Abstract
The reliability of stroke volume variation (SVV) and pulse pressure variation (PPV) in predicting fluid responsiveness during laparoscopic surgery remains unclear. We conducted the present systematic review to summarize the current evidence. We reviewed studies that investigated the reliability of SVV and PPV in laparoscopic surgery. Seven studies were included in the final analysis. Two studies demonstrated that the area under the receiver operating characteristic curve (AUROC) for SVV was less than 0.8, and five studies reported that the AUROC was > 0.8. The pooled AUROC for SVV and PPV was more than 0.8 with high heterogeneities between the included studies. Most individual studies have suggested that SVV and PPV are sufficiently reliable for predicting fluid responsiveness during laparoscopic surgery. However, the limited number of patients, varied apparatus used to define fluid responsiveness, diverse definitions of fluid responsiveness, and different fluids used to perform fluid challenges in the included studies render firm conclusions about SVV's and PPV's reliability impossible.
- Subjects
STROKE volume (Cardiac output); LAPAROSCOPIC surgery; BODY fluid analysis; PULSE measurement; PATIENT monitoring
- Publication
Journal of Clinical Monitoring & Computing, 2023, Vol 37, Issue 2, p379
- ISSN
1387-1307
- Publication type
Article
- DOI
10.1007/s10877-022-00939-6