The value of volume reaction evaluation through stroke volume variation combined with passive leg test for septic shock patients with autonomous breathing
10.3969/j.issn.1006-5725.2014.13.021
- VernacularTitle:每搏量变异结合被动抬腿试验在自主呼吸感染性休克患者容量反应评估中的价值研究
- Author:
Bing LIN
;
Lifang JIANG
;
Fansu MENG
;
Yingjun GUO
- Publication Type:Journal Article
- Keywords:
Stroke volume variation;
Passive leg raising;
Fluid responsiveness
- From:
The Journal of Practical Medicine
2014;(13):2084-2085
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of PLR-△SVV for the septic shock patients with autonomous breathing. Methods 60 patients were included in the study. Hemodynamic data of PICCO were collected before and after treatment. After rehydration, the group (△SV≥10%) was defined volume responder group, and then the predictive value of PLR-△SVV was analyzed. Results Compared with the nonresponders group, PLR-△SVV was increased significantly in response group[(10 ± 4)mL vs (14 ± 6)mL,P<0.05]. The ROC curve for PLR-△SVV were 0.881, and the sensitivity was 85.7%, the specificity was 92.0%. Conclusion PLR-△SVV can be used to predict fluid responsiveness for septic shock patients with spontaneously breathing.