Detection of volume loss using the Nexfin device in blood donors
Summary We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole‐blood donors. Mean arterial press...
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| Published in | Anaesthesia Vol. 71; no. 2; pp. 163 - 170 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Blackwell Publishing Ltd
01.02.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0003-2409 1365-2044 1365-2044 |
| DOI | 10.1111/anae.13283 |
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| Abstract | Summary
We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole‐blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min−1.m2 to 3.30 ± 0.61 l.min−1.m2; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm−5.m2 to 2137 ± 428 dyn.s.cm−5.m2; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88–0.99) and systemic vascular resistance (0.90, 95% CI 0.82–0.99). Nexfin is a non‐invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. |
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| AbstractList | We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min(-1) .m(2) to 3.30 ± 0.61 l.min(-1) .m(2) ; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm(-5) .m(2) to 2137 ± 428 dyn.s.cm(-5) .m(2) ; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects.We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min(-1) .m(2) to 3.30 ± 0.61 l.min(-1) .m(2) ; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm(-5) .m(2) to 2137 ± 428 dyn.s.cm(-5) .m(2) ; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min(-1) .m(2) to 3.30 ± 0.61 l.min(-1) .m(2) ; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm(-5) .m(2) to 2137 ± 428 dyn.s.cm(-5) .m(2) ; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole‐blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min −1 .m 2 to 3.30 ± 0.61 l.min −1 .m 2 ; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm −5 .m 2 to 2137 ± 428 dyn.s.cm −5 .m 2 ; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88–0.99) and systemic vascular resistance (0.90, 95% CI 0.82–0.99). Nexfin is a non‐invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. Summary We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole‐blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min−1.m2 to 3.30 ± 0.61 l.min−1.m2; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm−5.m2 to 2137 ± 428 dyn.s.cm−5.m2; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88–0.99) and systemic vascular resistance (0.90, 95% CI 0.82–0.99). Nexfin is a non‐invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. Summary We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 ± 0.84 l.min-1.m2 to 3.30 ± 0.61 l.min-1.m2; p < 0.001), an increase in systemic vascular resistance (from 1811 ± 450 dyn.s.cm-5.m2 to 2137 ± 428 dyn.s.cm-5.m2; p < 0.001) and an increase in pulse pressure variation (from 13.4 ± 5.1 to 15.3 ± 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects. |
| Author | Koopman, M. M. W. Nicia, S. B. Stens, J. Veelen, T. A. Boer, C. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26566706$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_ifacol_2021_11_192 crossref_primary_10_1007_s10840_019_00508_z crossref_primary_10_3390_diagnostics14171970 crossref_primary_10_1371_journal_pone_0195087 |
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| Copyright | 2015 The Association of Anaesthetists of Great Britain and Ireland 2015 The Association of Anaesthetists of Great Britain and Ireland. Copyright 2016 © The Association of Anaesthetists of Great Britain and Ireland |
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We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect... We investigated which haemodynamic parameters derived from Nexfin non‐invasive continuous arterial blood pressure measurements are optimal to detect controlled... We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled... Summary We investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect... |
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| SubjectTerms | Adult Anesthesia Arterial Pressure - physiology Blood & organ donations Blood Donors Blood pressure Blood Pressure - physiology Blood Pressure Monitors Cardiac Output - physiology Female Hemodynamics - physiology Hemorrhage Humans Male Monitoring, Physiologic - instrumentation Monitoring, Physiologic - statistics & numerical data Prospective Studies ROC Curve Thermodilution - instrumentation Thermodilution - statistics & numerical data Vascular Resistance - physiology |
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| Title | Detection of volume loss using the Nexfin device in blood donors |
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