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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 |
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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4-4.5 kg were studied under mechanical ventilation at a fixed tidal volume; during this time 5-ml blood samples were withdrawn (in increments up to a total of 30 ml) and then retransfused.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 The amount of blood withdrawn correlated negatively with SBP, DBP, PP and V and positively with DeltaSBP, DeltaPP and DeltaV. Among these parameters, DeltaV correlated best with the amount of blood withdrawn ( r=0.89, p |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 |
format | article |
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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4-4.5 kg were studied under mechanical ventilation at a fixed tidal volume; during this time 5-ml blood samples were withdrawn (in increments up to a total of 30 ml) and then retransfused.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<0.001) and it was the most accurate index of volume depletion.
Monitoring of the respiratory variation in V, calculated by esophageal Doppler technique, seems to be a highly accurate index of blood volume depletion and restitution.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-004-2190-z</identifier><identifier>PMID: 15004667</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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</subject><ispartof>Intensive care medicine, 2004-06, Vol.30 (6), p.1182-1187</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-d06f1ad9f39be6187cbe9e55959bd65273b6a5e92e44d3940aa7804ecaa9fe0b3</citedby><cites>FETCH-LOGICAL-c397t-d06f1ad9f39be6187cbe9e55959bd65273b6a5e92e44d3940aa7804ecaa9fe0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15803097$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15004667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SLAMA, Michel</creatorcontrib><creatorcontrib>MASSON, Henri</creatorcontrib><creatorcontrib>ANDREJAK, Michel</creatorcontrib><creatorcontrib>TEBOUL, Jean-Louis</creatorcontrib><creatorcontrib>ARNOULD, Marie-Luce</creatorcontrib><creatorcontrib>NAIT-KAOUDJT, Rachida</creatorcontrib><creatorcontrib>COLAS, Bouchra</creatorcontrib><creatorcontrib>PELTIER, Marcel</creatorcontrib><creatorcontrib>TRIBOUILLOY, Christophe</creatorcontrib><creatorcontrib>SUSIC, Dinko</creatorcontrib><creatorcontrib>FROHLICH, Edward</creatorcontrib><title>Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><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<0.001) and it was the most accurate index of volume depletion.
Monitoring of the respiratory variation in V, calculated by esophageal Doppler technique, seems to be a highly accurate index of blood volume depletion and restitution.</description><subject>Analysis of Variance</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Echocardiography, Transesophageal</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Hypovolemia - diagnostic imaging</subject><subject>Hypovolemia - physiopathology</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - methods</subject><subject>Positive-Pressure Respiration</subject><subject>Rabbits</subject><subject>Reproducibility of Results</subject><subject>Stroke Volume</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpdkE1P3DAQhq2qVVlofwAXFFWitxR_xY6PCChFouLSnnqwJs4EjLxxsBOq5dfXq12piNNIM8_7avQQcszoN0apPsuUMiFrSmXNmaH1yzuyYlLwmnHRvicrKiSvpZL8gBzm_FhorRr2kRywpmSU0ivy52cc_RyTH--rOFQJ8-QTlMWmeobkYfZxzNsLxDR7V3Uhxr4aQvxbPWOIzs-basnbNOY4PcA9Qqgu4zQFTJ_IhwFCxs_7eUR-f7_6dfGjvr27vrk4v62dMHque6oGBr0ZhOlQsVa7Dg02jWlM16uGa9EpaNBwlLIXRlIA3VKJDsAMSDtxRL7ueqcUnxbMs1377DAEGDEu2WpmlBG8KeCXN-BjXNJYfrOcqWKQq7ZAbAe5FHNOONgp-TWkjWXUbrXbnXZbFNqtdvtSMif74qVbY_8_sfdcgNM9ANlBGBKMzudXXEsFNVr8A3ZfjBI</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>SLAMA, Michel</creator><creator>MASSON, Henri</creator><creator>ANDREJAK, Michel</creator><creator>TEBOUL, Jean-Louis</creator><creator>ARNOULD, Marie-Luce</creator><creator>NAIT-KAOUDJT, Rachida</creator><creator>COLAS, Bouchra</creator><creator>PELTIER, Marcel</creator><creator>TRIBOUILLOY, Christophe</creator><creator>SUSIC, Dinko</creator><creator>FROHLICH, Edward</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20040601</creationdate><title>Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-d06f1ad9f39be6187cbe9e55959bd65273b6a5e92e44d3940aa7804ecaa9fe0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Analysis of Variance</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Echocardiography, Transesophageal</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Hypovolemia - diagnostic imaging</topic><topic>Hypovolemia - physiopathology</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - methods</topic><topic>Positive-Pressure Respiration</topic><topic>Rabbits</topic><topic>Reproducibility of Results</topic><topic>Stroke Volume</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SLAMA, Michel</creatorcontrib><creatorcontrib>MASSON, Henri</creatorcontrib><creatorcontrib>ANDREJAK, Michel</creatorcontrib><creatorcontrib>TEBOUL, Jean-Louis</creatorcontrib><creatorcontrib>ARNOULD, Marie-Luce</creatorcontrib><creatorcontrib>NAIT-KAOUDJT, Rachida</creatorcontrib><creatorcontrib>COLAS, Bouchra</creatorcontrib><creatorcontrib>PELTIER, Marcel</creatorcontrib><creatorcontrib>TRIBOUILLOY, Christophe</creatorcontrib><creatorcontrib>SUSIC, Dinko</creatorcontrib><creatorcontrib>FROHLICH, Edward</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SLAMA, Michel</au><au>MASSON, Henri</au><au>ANDREJAK, Michel</au><au>TEBOUL, Jean-Louis</au><au>ARNOULD, Marie-Luce</au><au>NAIT-KAOUDJT, Rachida</au><au>COLAS, Bouchra</au><au>PELTIER, Marcel</au><au>TRIBOUILLOY, Christophe</au><au>SUSIC, Dinko</au><au>FROHLICH, Edward</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>30</volume><issue>6</issue><spage>1182</spage><epage>1187</epage><pages>1182-1187</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>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<0.001) and it was the most accurate index of volume depletion.
Monitoring of the respiratory variation in V, calculated by esophageal Doppler technique, seems to be a highly accurate index of blood volume depletion and restitution.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>15004667</pmid><doi>10.1007/s00134-004-2190-z</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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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