A comparison of stroke volume variation measured by Vigileo/FloTrac system and aortic Doppler echocardiography

Anesth Analg. 2009 Aug;109(2):466-9. doi: 10.1213/ane.0b013e3181ac6dac.

Abstract

Background: The goal of this study was to compare stroke volume variation (SVV) assessed from a peripheral artery with the Vigileo/FloTrac system (SVV-FloTrac) with SVV derived close to the heart by aortic Doppler (SVV-Doppler).

Methods: Thirty patients undergoing liver transplantation underwent simultaneous SVV-FloTrac and SVV-Doppler measurements before and after intravascular volume expansion.

Results: SVV-FloTrac and SVV-Doppler comparison before intravascular volume expansion showed a mean bias of 0.7%, and 95% limits of agreement of -4.2% to 5.5%. The areas under the receiver operating characteristic curves generated to discriminate responders and nonresponders to intravascular volume expansion were not different for SVV-FloTrac and SVV-Doppler.

Conclusions: SVV-FloTrac and SVV-Doppler measurements show acceptable bias and limits of agreement, and similar performance in terms of fluid responsiveness in patients undergoing liver transplantation.

Publication types

  • Comparative Study

MeSH terms

  • Arteries / physiology*
  • Echocardiography, Doppler / instrumentation*
  • Female
  • Fluid Therapy
  • Hemodynamics / physiology
  • Humans
  • Liver Transplantation / physiology
  • Male
  • Middle Aged
  • Monitoring, Intraoperative
  • Predictive Value of Tests
  • ROC Curve
  • Stroke Volume / physiology*