Pulse Pressure Variation Helps to Predict Fluid Responsiveness in Patients Ventilated With Low Tidal Volumes
NCT01569308 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 38
Last updated 2012-04-03
Summary
Objective: To determine the value of pulse pressure variation (ΔRESPPP) to predict fluid responsiveness in patients ventilated with low tidal volumes (VT), and to investigate whether a lower ΔRESPPP cut-off point should be used when patients are ventilated with low tidal volumes.
Methods: This cross-sectional, observational study included 37 critically ill patients with acute circulatory failure requiring fluid challenge. They were sedated and mechanically ventilated with Tidal Volume (VT) 6-7 ml/kg IBW (ideal body weight), monitored by pulmonary artery catheter and arterial line. Mechanical ventilation and hemodynamic parameters, including ΔRESPPP, were measured before and after fluid challenge with 1,000 ml crystalloids or 500 ml colloids. Fluid responsiveness was defined as an increase of at least 15% in cardiac index.
The present study was designed to (1) determine the value of ΔRESPPP to predict fluid responsiveness in patients ventilated with low tidal volumes, and (2) to investigate whether a lower ΔRESPPP cut-off point should be used when patients are ventilated with low tidal volumes.
The study hypothesis is not a good predictor of fluid responsiveness in patients ventilated with low tidal volumes.
Conditions
- Hemodynamic Instability
Sponsors & Collaborators
-
Hospital de Clinicas de Porto Alegre
lead OTHER
Principal Investigators
-
Gilberto Friedman · Hospital de Clinicas de Porto Alegre
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-05-31
- Primary Completion
- 2009-10-31
- Completion
- 2009-10-31
Countries
- Brazil
Study Locations
More Related Trials
-
Comparison of PPV and LVOT VTI During Passive Leg Raising to Predict Fluid Responsiveness
NCT07304661 ·Status: NOT_YET_RECRUITING
-
Accuracy of Non-invasive Effective Pulmonary Perfusion Measurement by CO2
NCT02382120 ·Status: COMPLETED
-
Effect of PP in Patients With Ultra-low VT
NCT06215209 ·Status: RECRUITING
-
Pulse Pressure Variation Measured During Valsalva Maneuver to Predict Fluid Responsiveness Under Open-chest Condition
NCT02457572 ·Status: COMPLETED
-
The Correlational Study of PPV in Various VT in Mechanically Ventilated Patients
NCT01950949 ·Status: COMPLETED ·Phase: NA
-
The Effect of Negatively Fluid Balancing Speed for ICU Patients With Acute Respiratory Distress Syndrome
NCT03552601 ·Status: UNKNOWN ·Phase: NA
-
Cardiopulmonary Changes Prolonged Surgical Abdominal Retractors Application in Supine Versus Lateral Position
NCT03776292 ·Status: COMPLETED
-
Effects of End-inspiratory Pause on Ventilation
NCT06692634 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
the Influence of Tidal Volume to Lung Strain
NCT01864668 ·Status: UNKNOWN
-
Assessment of Preload Responsiveness in ARDS Patients During Prone Position
NCT04457739 ·Status: COMPLETED
-
Comparison of Esophageal and Central Venous Pressure for Estimating Transpulmonary Pressure Changes
NCT04443491 ·Status: COMPLETED
-
Effect of Initial Empirical PEEP Setting on the Esophageal Pressure-guided PEEP Titration in ARDS
NCT05442073 ·Status: COMPLETED
-
Functional Residual Capacity Measured by Capnography in Ventilated Patients
NCT03693352 ·Status: COMPLETED
-
Deep Learning Model for Predicting a Peripheral Venous Waveform-based Pulse Pressure Variation
NCT06734650 ·Status: NOT_YET_RECRUITING
-
Fluid Responsiveness Predicted by a Stepwise PEEP Elevation Recruitment Maneuver in Mechanically Ventilated Patients
NCT04304521 ·Status: COMPLETED
-
Effects of Inspiratory Flow Waveforms on Preload
NCT01892696 ·Status: COMPLETED ·Phase: NA
-
Analysis of Advanced Physiological Ventilatory Parameters During Spontaneous Breathing Effort in Patients with Acute Hypoxemic Respiratory Failure
NCT06490523 ·Status: COMPLETED
-
Value of Pulse Pressure Variations and Corrected Flow Time in Esophageal Doppler as a Predictor of Fluid Responsiveness in Prone Position During Spinal Surgery
NCT01646359 ·Status: COMPLETED ·Phase: NA
-
Prediction of the Effect of Fluid Administration Using Arterial Pressure and Ventilator Data During Abdominal Surgery
NCT04298931 ·Status: COMPLETED
-
IVC Variation After VT Challenge to Predict Fluid Responsiveness
NCT03397784 ·Status: UNKNOWN
-
Safety of Low PEEP Maneuvers During ARDS Management
NCT05922969 ·Status: RECRUITING
-
Heart Rate Variability During Weaning From Mechanical Ventilation
NCT00851825 ·Status: COMPLETED
-
Influence Positive End-expiratory Pressure on Autoregulation in Patients With Respiratory Insufficiency
NCT01376518 ·Status: COMPLETED
-
Practices of Prone Positioning Ventilation in Patients With Moderate-to-Severe ARDS in Intensive Care Units: A Registry-Based Observational Study
NCT07284888 ·Status: RECRUITING
-
Respiratory Variation in Central Venous Oxygen Saturation Predicts Volume Responsiveness in Hemodynamically Unstable Patients Under Mechanical Ventilation : a Prospective Cohort Study
NCT02142985 ·Status: COMPLETED ·Phase: PHASE2