지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 316 - 321 (6page)
이용수
초록· 키워드
오류제보하기
Background: Stroke volume variation (SVV) is based on cyclic changes of intrathoracic pressure during respiratory cycle. Thoracotomy and one-lung ventilation (OLV) can lead to changes in airway and intrathoracic pressure. The aim of this study was to determine whether thoracotomy and converting from two lung ventilation to OLV could affect SVV values. Methods: Thirty patients who were scheduled for pulmonary lobectomy or pneumonectomy requiring OLV were enrolled. Induction and maintenance of anesthesia were performed with propofol and remifentanil via total intravenous anesthesia. Hemodynamic variables including mean arterial pressure (MAP), heart rate (HR), cardiac index (CI), and SVV were measured at intervals of 1 min for 10 min after thoracotomy and OLV, respectively. Results: MAP and HR increased from baseline at intervals between 3 and 10 min and between 4 and 10 min after thoracotomy, respectively (P < 0.001). CI increased between 4 and 10 min (P < 0.001). SVV did not change for 10 min after thoracotomy. After OLV, MAP decreased between 4 and 10 min (P = 0.112). SVV was the highest at 1 min after OLV. It returned to the baseline value at 7 min (P < 0.001). CI decreased between 8 and 10 min after OLV (P < 0.001). Conclusions: SVV can increase after OLV temporarily. Transient increase of SVV may be considered when fluid responsiveness is predicted by SVV during early period after OLV.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Lorsomradee S / 2007 / Uncalibrated arterial pulse contour analysis versus continuous thermodilution technique : effects of alterations in arterial waveform / J Cardiothorac Vasc Anesth 21:636~643
Della Rocca G / 2008 / Arterial pulse cardiac output agreement with thermodilution in patients in hyperdynamic conditions / J Cardiothorac Vasc Anesth 22:681~687
Breukers RM / 2007 / Cardiac output measured by a new arterial pressure waveform analysis method without calibration compared with thermodilution after cardiac surgery / J Cardiothorac Vasc Anesth 21:632~635
Manecke GR Jr / 2007 / Cardiac output determination from the arterial pressure wave : clinical testing of a novel algorithm that does not require calibration / J Cardiothorac Vasc Anesth 21:3~7
Marik PE / 2009 / Techniques for assessment of intravascular volume in critically ill patients / J Intensive Care Med 24:329~337
Della Rocca G / 2008 / Arterial pulse cardiac output agreement with thermodilution in patients in hyperdynamic conditions / J Cardiothorac Vasc Anesth 22:681~687
Breukers RM / 2007 / Cardiac output measured by a new arterial pressure waveform analysis method without calibration compared with thermodilution after cardiac surgery / J Cardiothorac Vasc Anesth 21:632~635
Manecke GR Jr / 2007 / Cardiac output determination from the arterial pressure wave : clinical testing of a novel algorithm that does not require calibration / J Cardiothorac Vasc Anesth 21:3~7
Marik PE / 2009 / Techniques for assessment of intravascular volume in critically ill patients / J Intensive Care Med 24:329~337
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