Open AccessA comparative study of pulse pressure variation, stroke volume variation and central venous pressure in patients undergoing kidney transplantation
Author(s) -
Kyung Mi Kim,
Gaab Soo Kim,
Man-Seok Han
Publication year - 2022
Publication title -
singapore medical journal/singapore medical journal
Language(s) - English
Resource type - Journals
eISSN - 2737-5935
pISSN - 0037-5675
DOI - 10.11622/smedj.2021221
Subject(s) - medicine , preload , central venous pressure , stroke volume , intravascular volume status , pulse pressure , receiver operating characteristic , cardiology , hydroxyethyl starch , transplantation , hemodynamics , anesthesia , blood pressure , heart rate
Optimal intraoperative fluid management guided by central venous pressure (CVP), a traditional intravascular volume status indicator, has improved transplanted graft function during kidney transplantation (KT). Pulse pressure variation (PPV) and stroke volume variation (SVV) - dynamic preload indexes - are robust predictors of fluid responsiveness. This study aimed to compare the accuracy of PPV and CVP against SVV in predicting fluid responsiveness in terms of cost-effectiveness after a standardised empiric volume challenge in KT patients.