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Influence of tidal volume for stroke volume variation to predict fluid responsiveness in patients undergoing one-lung ventilation

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Abstract

We designed this study to determine the predictive value for fluid responsiveness of stroke volume variation (SVV) in patients undergoing one-lung ventilation (OLV), ventilated at different tidal volumes. All patients scheduled for pulmonary lobectomy were randomized into two groups according to their tidal volume [group H: tidal volume 8 ml/kg (n = 36); group L: tidal volume 6 ml/kg (n = 37)]. After starting OLV, volume loading was performed by administration of 500 ml 6% hydroxyethylated starch for 30 min. Hemodynamic variables were measured before and after volume loading using the Vigileo-FloTrac system. Patients in both groups were divided into fluid responders and non-responders, and responders were defined as those who demonstrated an increase in cardiac index ≥15% after volume expansion. The area under the receiver operating characteristic curve for SVV to discriminate between responders and non-responders was 0.776 in group H and 0.648 in group L. The optimal threshold value of SVV was 10.5% (sensitivity, 85.7%; specificity, 66.7%) in group H and 8% (sensitivity, 69.5%; specificity, 64.3%) in group L. We found that SVV could predict fluid responsiveness in patients undergoing OLV with acceptable levels of sensitivity and specificity only when tidal volume is at least 8 ml/kg.

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Authors and Affiliations

  1. Department of Anesthesiology, Osaka City General and Children’s Hospital, 2-13-22 Miyakojima-hondori, Miyakojimaku, 534-0021, Osaka, Osaka, Japan

    Koichi Suehiro & Ryu Okutani

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  1. Koichi Suehiro
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  2. Ryu Okutani
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Correspondence to Koichi Suehiro.

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Suehiro, K., Okutani, R. Influence of tidal volume for stroke volume variation to predict fluid responsiveness in patients undergoing one-lung ventilation. J Anesth 25, 777–780 (2011). https://doi.org/10.1007/s00540-011-1200-x

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  • DOI: https://doi.org/10.1007/s00540-011-1200-x

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