A comparative study of pulse pressure variation, stroke volume variation and central venous pressure in patients undergoing kidney transplantation.

ABSTRACT:

Introduction

Optimal intraoperative fluid management guided by central venous pressure (CVP), a traditional intravascular volume status indicator, has improved transplanted graft function during kidney transplantation (KT). Pulse pressure variation (PPV) and stroke volume variation (SVV) - dynamic preload indexes - are robust predictors of fluid responsiveness. This study aimed to compare the accuracy of PPV and CVP against SVV in predicting fluid responsiveness in terms of cost-effectiveness after a standardised empiric volume challenge in KT patients.

Methods

36 patients undergoing living-donor KT were analysed. PPV, SVV, CVP and cardiac index (CI) were measured before and after fluid loading with a hydroxyethyl starch solution (7 mL/kg of ideal body weight). Patients were

SUBMITTER: Kim KM 

PROVIDER: S-EPMC9875873 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature