Open AccessAnesthetics management of a renal angiomyolipoma using pulse pressure variation and non-invasive cardiac output monitoring: A case report
Author(s) -
Woo Jae Jeon,
Woo Jong Shin,
Young Joon Yoon,
Chan Woo Park,
Ju Hyun Shim,
Sang Yun Cho
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i24.8656
Subject(s) - medicine , intravascular volume status , stroke volume , cardiac output , hypovolemia , blood pressure , shock (circulatory) , nephrectomy , pulse pressure , cardiac index , anesthesia , cardiology , surgery , radiology , kidney , heart rate
Hypovolemic shock can lead to life-threatening organ dysfunction, and adequate fluid administration is a fundamental therapy. Traditionally, parameters such as vital signs, central venous pressure, and urine output have been used to estimate intravascular volume. Recently, pulse pressure variation (PPV) and non-invasive cardiac monitoring devices have been introduced. In this case report, we introduce a patient with massive active bleeding from giant renal angiomyolipoma (AML). During emergent nephrectomy, we used non-invasive cardiac monitoring with CSN-1901 (Nihon Kohden, Tokyo, Japan) and PPV to evaluate the patient's intravascular volume status to achieve optimal fluid management.