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Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler

The purpose of this study was to determine whether monitoring of respiratory changes in aortic blood flow velocity, recorded by esophageal Doppler, could be used to detect changes in volume depletion. Animal study. After general anesthesia and tracheotomy, ten New Zealand female rabbits, weighing 4-...

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Published in:Intensive care medicine 2004-06, Vol.30 (6), p.1182-1187
Main Authors: SLAMA, Michel, MASSON, Henri, ANDREJAK, Michel, TEBOUL, Jean-Louis, ARNOULD, Marie-Luce, NAIT-KAOUDJT, Rachida, COLAS, Bouchra, PELTIER, Marcel, TRIBOUILLOY, Christophe, SUSIC, Dinko, FROHLICH, Edward
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container_title Intensive care medicine
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creator SLAMA, Michel
MASSON, Henri
ANDREJAK, Michel
TEBOUL, Jean-Louis
ARNOULD, Marie-Luce
NAIT-KAOUDJT, Rachida
COLAS, Bouchra
PELTIER, Marcel
TRIBOUILLOY, Christophe
SUSIC, Dinko
FROHLICH, Edward
description The purpose of this study was to determine whether monitoring of respiratory changes in aortic blood flow velocity, recorded by esophageal Doppler, could be used to detect changes in volume depletion. Animal study. After general anesthesia and tracheotomy, ten New Zealand female rabbits, weighing 4-4.5 kg were studied under mechanical ventilation at a fixed tidal volume; during this time 5-ml blood samples were withdrawn (in increments up to a total of 30 ml) and then retransfused. At each step, systolic (SBP), diastolic (DBP), pulse (PP) pressures and maximum descending aortic blood flow (V) were recorded. Respiratory changes of V (DeltaV), SBP (DeltaSBP) and PP (DeltaPP) were calculated as the difference of maximal and minimal values divided by their respective means and expressed as a percentage. The amount of blood withdrawn correlated negatively with SBP, DBP, PP and V and positively with DeltaSBP, DeltaPP and DeltaV. Among these parameters, DeltaV correlated best with the amount of blood withdrawn ( r=0.89, p
doi_str_mv 10.1007/s00134-004-2190-z
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subjects Analysis of Variance
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Aorta, Thoracic - diagnostic imaging
Biological and medical sciences
Blood Flow Velocity
Echocardiography, Transesophageal
Female
Hemodynamics
Hypovolemia - diagnostic imaging
Hypovolemia - physiopathology
Intensive care medicine
Medical sciences
Monitoring, Physiologic - methods
Positive-Pressure Respiration
Rabbits
Reproducibility of Results
Stroke Volume
title Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler
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