Goal-Directed Fluid Management Based on the Pulse Oximeter–Derived Pleth Variability Index Reduces Lactate Levels and Improves Fluid Management

@article{Forget2010GoalDirectedFM,
  title={Goal-Directed Fluid Management Based on the Pulse Oximeter–Derived Pleth Variability Index Reduces Lactate Levels and Improves Fluid Management},
  author={P. Forget and F. Lois and M. de Kock},
  journal={Anesthesia & Analgesia},
  year={2010},
  volume={111},
  pages={910–914}
}
BACKGROUND:Dynamic variables predict fluid responsiveness and may improve fluid management during surgery. We investigated whether displaying the variability in the pulse oximeter plethysmogram (pleth variability index; PVI) would guide intraoperative fluid management and improve circulation as assessed by lactate levels. METHODS:Eighty-two patients scheduled for major abdominal surgery were randomized into 2 groups to compare intraoperative PVI-directed fluid management (PVI group) versus… Expand
193 Citations

Paper Mentions

Interventional Clinical Trial
This randomized control trial aims to assess if Plethysmographic Variability Index (PVI)-based therapy improves patient outcome in terms of reduced amount and type of fluid used… Expand
ConditionsSevere Traumatic Brain Injury
InterventionDevice
Interventional Clinical Trial
The study is a clinical trial, prospective and randomized of 60 patients of both genders, aged between 18 and 80 years, underwent major abdominal surgery. This study aims to compare… Expand
ConditionsAnesthesia
InterventionDevice
Observational Clinical Trial
Correct assessment of a patient's volume status is the most important goal for an anesthetist. However, most of the variables used for fluid response evaluation are invasive and… Expand
ConditionsHypotension, Pleth Variability Index
InterventionDevice
Interventional Clinical Trial
Intraoperative fluid given according to BMI in group B and according to pulse oximeter- derived pleth variability index(MASIMO RAINBOW PULSE CO OXIMETRY) in group G. Comparison of… Expand
ConditionsFree Tissue Flaps
InterventionOther
Pleth variability index-directed fluid management in abdominal surgery under combined general and epidural anesthesia
  • 26
Comparison of conventional fluid management with PVI-based goal-directed fluid management in elective colorectal surgery
  • 6
  • PDF
Pleth Variability Index to Predict Fluid Responsiveness in Colorectal Surgery
  • 63
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 13 REFERENCES
Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre.
  • 253
  • Highly Influential
  • PDF
Using ventilation-induced plethysmographic variations to optimize patient fluid status
  • 58
Functional hemodynamic monitoring and dynamic indices of fluid responsiveness.
  • 97
Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence.
  • 1,131
  • PDF
Monitoring of peri‐operative fluid administration by individualized goal‐directed therapy
  • 239
  • PDF
...
1
2
...