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Evaluation the data behind using pulse pressure variation (ppv) as a method to predict fluid/volume responsiveness in resuscitation.

Systolic pressure variation and stroke volume variation between spontaneous breathing and mechanical ventilation Fluid responsiveness is also known as volume responsiveness Even though there are many ways to determine fluid responsiveness, the only definitive test for fluid responsiveness. Monitoring arterial pressure variation, i.e Spv/ppv, helps to answer the question of fluid responsiveness and can be used to guide fluid expansion therapy.4 spv/ppv parameters cannot, however, indicate what type of fluid is the most suitable for the therapy Lidco ltd, as the manufacturer and supplier of pulseco, lidcoplus, lidcorapid and lidcounity medical devices, does not practice medicine and does not recommend these normal parameter metrics for use on a specific patient

The medical practitioner who performs any procedure is responsible for determining and utilizing the appropriate techniques, devices and treatments for each individual. In anesthetized patients without cardiac arrhythmia the arterial pulse pressure variation (ppv) induced by mechanical ventilation has been shown the most accurate predictor of fluid responsiveness In this respect, ppv has so far been used mainly in. Use is otherwise similar to svv normal ppv Likely to be volume responsive accurately measured only if on controlled mechanical ventilation and in normal sinus rhythm use contraindicated if having arrhythmias or spontaneous ventilation (irregular nature of spontaneous breaths causes. Introduction pulse pressure variation (ppv) has been shown to predict fluid responsiveness in ventilated intensive care unit (icu) patients

The present study was aimed at assessing the diagnostic accuracy of ppv for prediction of fluid responsiveness by using the grey zone approach in a large population

Methods the study pooled data of 556 patients from nine french icus

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