RELATIONS BETWEEN RESPIRATORY CHANGES IN R-WAVE AMPLITUDE AND ARTERIAL PULSE PRESSURE IN MECHANICALLY VENTILATED PATIENTS

被引：16
作者：
Cannesson, Maxime [1 ]
Keller, Geoffray [2 ,3 ]
Desebbe, Olivier [2 ,3 ]
Lehot, Jean-Jacques [2 ,3 ]
机构：
[1] Univ Calif Irvine, Sch Med, Dept Anesthesiol & Perioperat Care, Orange, CA 92868 USA
[2] Louis Pradel Hosp, Hosp Civils Lyon, Grp Hosp Est, Dept Anesthesiol & Intens Care, Lyon, France
[3] Univ Lyon 1, INSERM, ERI 22, F-69365 Lyon, France
来源：
JOURNAL OF CLINICAL MONITORING AND COMPUTING | 2010年 / 24卷 / 03期
关键词：
brody effect; fluid responsiveness; monitoring; non invasive; cardiopulmonary interactions;
D O I：
10.1007/s10877-010-9235-3
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Introduction. R-wave obtained from the electrocardiogram depends on ventricular stroke volume. We assessed the relationship between respiratory variations in R-wave (Delta RDII) and in pulse pressure (Delta PP) during general anesthesia. Method. R-wave amplitude was measured from standard lead II (RDII). Maximal RDII (RDIImax) and minimal RDII (RDIImin) were determined over one respiratory cycle. Delta RDII was calculated as 100 x [RDIImax-RDIImin]/([RDIImax + RDIImin]/2. Delta RDII and Delta PP were simultaneously recorded. Results. There was a significant relationship (r = 0.79; P < 0.001) between Delta RDII and Delta PP. A Delta RDII > 13% detected patients with a Delta PP > 13% with an 89% sensitivity, and an 88% specificity. Conclusion. Delta RDII and Delta PP are related in this setting.
引用
收藏
页码：203 / 207
页数：5
相关论文
共 17 条
[1]   A novel algorithm to estimate the pulse pressure variation index ΔPP [J].
Aboy, M ;
McNames, J ;
Thong, T ;
Phillips, CR ;
Ellenby, MS ;
Goldstein, B .
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 2004, 51 (12) :2198-2203
[2]   EFFECT OF CAVAL OCCLUSION ON THE MAGNITUDE OF UNIPOLAR ATRIAL ELECTROGRAMS IN DOGS [J].
BEDONT, RA ;
ABILDSKOV, JA ;
LUX, RL ;
GREEN, LS .
AMERICAN JOURNAL OF PHYSIOLOGY, 1983, 245 (04) :H580-H583
[3]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[4]   A THEORETICAL ANALYSIS OF INTRACAVITARY BLOOD MASS INFLUENCE ON THE HEART-LEAD RELATIONSHIP [J].
BRODY, DA .
CIRCULATION RESEARCH, 1956, 4 (06) :731-738
[5]   Does the pleth variability index indicate the respiratory-induced variation in the plethysmogram and arterial pressure waveforms? [J].
Cannesson, Maxime ;
Delannoy, Bertrand ;
Morand, Antoine ;
Rosamel, Pascal ;
Attof, Yassin ;
Bastien, Olivier ;
Lehot, Jean-Jacques .
ANESTHESIA AND ANALGESIA, 2008, 106 (04) :1189-1194
[6]   The ability of a novel algorithm for automatic estimation of the respiratory variations, in arterial pulse pressure to monitor fluid responsiveness in the operating room [J].
Cannesson, Maxime ;
Slieker, Juliette ;
Desebbe, Olivier ;
Bauer, Christian ;
Chiari, Pascal ;
Henaine, Roland ;
Lehot, Jean-Jacques .
ANESTHESIA AND ANALGESIA, 2008, 106 (04) :1195-1200
[7]   Respiratory variations in pulse oximetry plethysmographic waveform amplitude to predict fluid responsiveness in the operating room [J].
Cannesson, Maxime ;
Attof, Yassin ;
Rosamel, Pascal ;
Desebbe, Olivier ;
Joseph, Pierre ;
Metton, Olivier ;
Bastien, Olivier ;
Lehot, Jean-Jacques .
ANESTHESIOLOGY, 2007, 106 (06) :1105-1111
[8]   PULSE PRESSURE VARIATION: WHERE ARE WE TODAY? [J].
Cannesson, Maxime ;
Aboy, Mateo ;
Hofer, Christoph K. ;
Rehman, Mohamed .
JOURNAL OF CLINICAL MONITORING AND COMPUTING, 2011, 25 (01) :45-56
[9]   CORRELATION BETWEEN CHANGES IN R-WAVE AMPLITUDE AND LEFT-VENTRICULAR VOLUME INDUCED BY RAPID ATRIAL-PACING [J].
DANIELS, S ;
ISKANDRIAN, AS ;
HAKKI, AH ;
KANE, SA ;
BEMIS, CE ;
HOROWITZ, LN ;
GREENSPAN, AM ;
SEGAL, BL .
AMERICAN HEART JOURNAL, 1984, 107 (04) :711-717
[10]   CHANGE IN VENTRICULAR CAVITY SIZE - DIFFERENTIAL-EFFECTS ON QRS-WAVE AND T-WAVE AMPLITUDE [J].
FELDMAN, T ;
CHILDERS, RW ;
BOROW, KM ;
LANG, RM ;
NEUMANN, A .
CIRCULATION, 1985, 72 (03) :495-501
12