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Journal of Anesthesia

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01-12-2011 | Review Article

Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis

Authors: Zhongheng Zhang, Baolong Lu, Xiaoyan Sheng, Ni Jin

Published in: Journal of Anesthesia | Issue 6/2011

Abstract

Purpose

Stroke volume variation (SVV) appears to be a good predictor of fluid responsiveness in critically ill patients. However, a wide range of its predictive values has been reported in recent years. We therefore undertook a systematic review and meta-analysis of clinical trials that investigated the diagnostic value of SVV in predicting fluid responsiveness.

Methods

Clinical investigations were identified from several sources, including MEDLINE, EMBASE, WANFANG, and CENTRAL. Original articles investigating the diagnostic value of SVV in predicting fluid responsiveness were considered to be eligible. Participants included critically ill patients in the intensive care unit (ICU) or operating room (OR) who require hemodynamic monitoring.

Results

A total of 568 patients from 23 studies were included in our final analysis. Baseline SVV was correlated to fluid responsiveness with a pooled correlation coefficient of 0.718. Across all settings, we found a diagnostic odds ratio of 18.4 for SVV to predict fluid responsiveness at a sensitivity of 0.81 and specificity of 0.80. The SVV was of diagnostic value for fluid responsiveness in OR or ICU patients monitored with the PiCCO or the FloTrac/Vigileo system, and in patients ventilated with tidal volume greater than 8 ml/kg.

Conclusions

SVV is of diagnostic value in predicting fluid responsiveness in various settings.

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Title: Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis
Authors: Zhongheng Zhang
Baolong Lu
Xiaoyan Sheng
Ni Jin
Publication date: 01-12-2011
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 6/2011
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-011-1217-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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