Open AccessEffect of pneumoperitoneum on dynamic variables of fluid responsiveness (Delta PP and PVI) during Trendelenburg position
Author(s) -
Djamal Ghoundiwal,
Amélie Delaporte,
Javad Bidgoli,
Patrice Forget,
JeanFrançois Fils,
Philippe Van der Linden
Publication year - 2020
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_737_19
Subject(s) - trendelenburg , medicine , trendelenburg position , pneumoperitoneum , insufflation , anesthesia , arterial catheter , blood pressure , peak inspiratory pressure , heart rate , tidal volume , surgery , laparoscopy , respiratory system
Pulse pressure variation (ΔPP) is considered as one of the best predictors of fluid responsiveness in patients under mechanical ventilation. Pleth Variability Index (PVI) has been proposed as a noninvasive alternative. However, pneumoperitoneum has been recently suggested as a limitation to their interpretation. The aim of this study was to compare changes in ΔPP and PVI related to autotransfusion associated with a Trendelenburg maneuver before and during pneumoperitoneum.