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Pulse pressure variation and systolic pressure variation in horses undergoing general anesthesia
Author(s) -
Langdon Fielding C.,
Stolba Dia.
Publication year - 2012
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/j.1476-4431.2012.00746.x
Subject(s) - medicine , blood pressure , pulse pressure , anesthesia , variation (astronomy) , cardiology , physics , astrophysics
Changes in arterial pressure due to respiratory phases have been used to predict fluid responsiveness in a number of species and pulse pressure variation ( PPV ) and systolic pressure variation ( SPV ) are commonly used. The relationship between PPV and SPV has not been described in horses. Objectives To describe and compare PPV and SPV values of horses under general anesthesia. Methods Twenty‐six horses undergoing general anesthesia and receiving mechanical ventilation were enrolled in the study. Recordings of maximal and minimal values of pulse pressure and systolic pressure were calculated every 15 minutes throughout surgery. Results Initial PPV was 15.6% (7.9, 33.8) and decreased over the first 30 minutes to 10.7 ± 7.2% ( P = 0.03). Initial SPV was 10.3 ± 2.6% and decreased over the first 30 minutes to 7.3 ± 3.3% ( P = 0.004). PPV and SPV had a correlation coefficient of 0.52 ( P < 0.0001) and a 95% limits of agreement from −7.1% to 14.4%. Conclusion PPV and SPV measurements in horses do not have strong agreement.