Original contributionThe use of systolic pressure variation in hemodynamic monitoring during deliberate hypotension in spine surgery☆
References (9)
- et al.
The regulation of the performance of the heart
Am J Med
(1961) - et al.
Hypotensive anesthesia for spinal fusion with sodium nitroprusside
Spine
(1978) - et al.
Systolic blood pressure variation is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage
Anesthesiology
(1987) - et al.
The systolic pressure variation is greater during hemorrhage than during sodium nitroprusside-induced hypotension in ventilated dogs
Anesth Analg
(1988)
Cited by (35)
Deliberate hypotension as a mechanism to decrease intraoperative surgical site blood loss in resource limited setting: A systematic review and guideline
2021, International Journal of Surgery OpenCitation Excerpt :Weather continuous non-invasive BP monitoring can improve patient outcome in certain patient collectives, or clinical setting, is the subject of the current clinical research. In critically ill patients, still the literature recommends the continuous invasive BP monitoring with an arterial catheter [65,66]. The period of controlled hypotension should be the shortest time necessary for safe and effective surgery.
Arterial waveform analysis
2014, Best Practice and Research: Clinical AnaesthesiologyCitation Excerpt :Thus, changes in pulse pressure across the ventilatory cycle, referred to as pulse pressure variation (PPV), can be used as a surrogate for volume responsiveness. Increasing PPV can be used to identify functional hypovolemia [33–35]. Hypovolemia will cause a large increase in the variation of both systolic pressure and pulse pressure compared to normovolemic states.
Risks and benefits of deliberate hypotension in anaesthesia: a systematic review
2008, International Journal of Oral and Maxillofacial SurgeryCitation Excerpt :The results of the 2 studies with low risk of bias showed no significant difference in cognitive performance between the hypotensive and normotensive anaesthesia groups153,197 (Table 10). Seventy articles were found relevant to this topic: 16 were randomized clinical trials17–19,46,55,56,66,69,91,92,122,154,161,167,180,200, 12 controlled clinical trials31–33,57,59,88,89,159,168,185,187,192, 2 case-controlled studies39,162, 35 prospective case series14,16,22,37,51,70,77,78,80,86,87,93,95,97,108,109,123–125,133,138,139,141,144,150,152,157,158,166,170,172,174,195,196, 2 retrospective case series112,148 and 3 case reports15,73,111. According to the selection criteria, 16 articles were selected for critical appraisal (Table 5).
Systolic pressure variation: A dynamic measure of the adequacy of intravascular volume
2005, Seminars in Anesthesia, Perioperative Medicine and PainVariable systolic pressure variation and dynamic hyperinflation due to an intrabronchial tumor
2004, Journal of Clinical AnesthesiaThe clinical relevance of systolic pressure variations in anesthetized nonhypotensive patients
2003, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :The SPV is the sum of the Δ-up and Δ-down. According to former published results,16,17,20,21 the hypovolemia threshold value was set to 12 mm for SPV and 10 mm for the Δ-down. Simultaneously, a transesophageal ultrasound probe (5-MHz transducer) connected to a Hewlett-Packard HP Sono 500 ultrasonograph (Hewlett-Packard, Andover, MA) was inserted into the patient's esophagus.
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Supported by the Basic Research Foundation, Israel Academy of Sciences and Humanities.
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Lecturer in Anesthesiology
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(Resident in Anesthesiology
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Professor of Orthopedic Surgery
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Associate Professor of Anesthesiology