脉搏灌注变异指数在腹腔镜手术目标导向液体治疗中的应用
摘要
<正>近年来,围手术期目标导向液体治疗(goal-directed fluid therapy,GDFT)在术中的应用是麻醉学科的一个热点问题。围手术期GDFT是维持理想容量状态的个体化输液方案,该方案可缩短住院日、减少并发症、改善术后转归。围手术期GDFT的实施有液体冲击法和液体反应法两种方法,目前两种方法常
引文
[1] YAMADA T,VACAS S,GRICOURT Y,et al.Improving perioperative outcomes through minimally invasive and non-invasive hemodynamic monitoring techniques[J].Front Med (Lausanne),2018,5:144.
[2] KIM D H,SHIN S,KIM J Y,et al.Pulse pressure variation and pleth variability index as predictors of fluid responsiveness in patients undergoing spinal surgery in the prone position[J].Ther Clin Risk Manag,2018,14:1175-1183.
[3] 卢年芳,郑瑞强,林华,等.脉搏灌注变异指数评价感染性休克患者容量状态的前瞻性临床研究[J].中华危重病急救医学,2015,27(1):17-21.
[4] PI?KIN .Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients[J].Medicine (Baltimore),2017,96(47):e8889.
[5] YU Y,DONG J,XU Z,et al.Pleth variability index-directed fluid management in abdominal surgery under combined general and epidural anesthesia[J].J Clin Monit Comput,2015,29(1):47-52.
[6] FORGET P,LOIS F,DE KOCK M.Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management[J].Anesth Analg,2010,111(4):910-914.
[7] SUN Y,CHAI F,PAN C,et al.Effect of perioperative goal-directed hemodynamic therapy on postoperative recovery following major abdominal surgery——a systematic review and meta-analysis of randomized controlled trials[J].Crit Care,2017,21(1):141.
[8] 尹健一,李幼生,黎介寿.脉氧容积变异指数预测扩容反应的基本原理及临床应用[J].中华危重病急救医学,2013,25(5):314-318.
[9] DESGRANGES F P,DESEBBE O,GHAZOUANI A,et al.Influence of the site of measurement on the ability of plethysmographic variability index to predict fluid responsiveness[J].Br J Anaesth,2011,107(3):329-335.
[10] HOOD J A,WILSON R J.Pleth variability index to predict fluid responsiveness in colorectal surgery[J].Anesth Analg,2011,113(5):1058-1063.
[11] 马红梅,郭莹莹,吴智宏,等.FloTrac/Vigileo系统监测调控CO2气腹压改善腹腔镜手术患者血流动力学的效果观察[J].中国医学装备,2018,15(8):67-71.
[12] 文雯.老年人经腹腔或后腹腔镜下泌尿外科手术期间呼吸循环参数及动脉血气的变化[D].泸州:西南医科大学,2017.
[13] LIU F,ZHU S,JI Q,et al.The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy[J].Biosci Trends,2015,9(2):129-133.
[14] 岳剑虹,袁维秀,米卫东,等.清醒状态时体位改变对灌注指数和灌注指数变异的影响[J].北京医学,2011,3(8):623-625.
[15] WAJIMA Z,SHIGA T,IMANAGA K.Does pneumoperitoneum affect perfusion index and pleth variability index in patients receiving combined epidural and general anesthesia[J].Biosci Trends,2018,11(6):667-674.
[16] XU Z,ZHANG J,XIA Y,et al.Accuracy of pulse oximeter perfusion index in thoracic epidural anesthesia under basal general anesthesia[J].Int J Clin Exp Med,2014,7(7):1728-1734.
[17] FU Q,MI W D,ZHANG H.Stroke volume variation and pleth variability index to predict fluid responsiveness during resection of primary retroperitoneal tumors in Hans Chinese[J].Biosci Trends,2012,6(1):38-43.
[18] KUWATA S,SUEHIRO K,JURI T,et al.Pleth variability index can predict spinal anaesthesia-induced hypotension in patients undergoing caesarean delivery[J].Acta Anaesthesiol Scand,2018,62(1):75-84.
[19] 吴倩,王嘉锋,倪文,等.人工气腹对全麻患者脉搏灌注变异指数的影响[J].中国医学前沿杂志(电子版),2013,5(3):42-45.
[20] CANNESSON M,DESEBBE O,ROSAMEL P,et al.Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre[J].Br J Anaesth,2008,101(2):200-206.
[21] SISWOJO A S,WONG D M,PHAN T D,et al.Pleth variability index predicts fluid responsiveness in mechanically ventilated adults during general anesthesia for noncardiac surgery[J].J Cardiothorac Vasc Anesth,2014,28(6):1505-1509.
[22] KIM E H,LEE J H,SONG I K,et al.Assessment of dynamic variables of fluid responsiveness to predict desufflation-induced hypotension during paediatric laparoscopic surgery[J].Br J Anaesth,2017,119(5):956-963.
[23] MONNET X,GUERIN L,JOZWIAK M,et al.Pleth variability index is a weak predictor of fluid responsiveness in patients receiving norepinephrine[J].Br J Anaesth,2013,110(2):207-213.
[24] DEMIREL I,BOLAT E,ALTUN A Y,et al.Efficacy of goal-directed fluid therapy via pleth variability index during laparoscopic roux-en-Y gastric bypass surgery in morbidly obese patients[J].Obes Surg,2018,28(2):358-363.
[25] DEBARROS M,CAUSEY M W,CHESLEY P,et al.Reliability of continuous non-invasive assessment of hemoglobin and fluid responsiveness:impact of obesity and abdominal insufflation pressures[J].Obes Surg,2015,25(7):1142-1148.
[2] KIM D H,SHIN S,KIM J Y,et al.Pulse pressure variation and pleth variability index as predictors of fluid responsiveness in patients undergoing spinal surgery in the prone position[J].Ther Clin Risk Manag,2018,14:1175-1183.
[3] 卢年芳,郑瑞强,林华,等.脉搏灌注变异指数评价感染性休克患者容量状态的前瞻性临床研究[J].中华危重病急救医学,2015,27(1):17-21.
[4] PI?KIN .Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients[J].Medicine (Baltimore),2017,96(47):e8889.
[5] YU Y,DONG J,XU Z,et al.Pleth variability index-directed fluid management in abdominal surgery under combined general and epidural anesthesia[J].J Clin Monit Comput,2015,29(1):47-52.
[6] FORGET P,LOIS F,DE KOCK M.Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management[J].Anesth Analg,2010,111(4):910-914.
[7] SUN Y,CHAI F,PAN C,et al.Effect of perioperative goal-directed hemodynamic therapy on postoperative recovery following major abdominal surgery——a systematic review and meta-analysis of randomized controlled trials[J].Crit Care,2017,21(1):141.
[8] 尹健一,李幼生,黎介寿.脉氧容积变异指数预测扩容反应的基本原理及临床应用[J].中华危重病急救医学,2013,25(5):314-318.
[9] DESGRANGES F P,DESEBBE O,GHAZOUANI A,et al.Influence of the site of measurement on the ability of plethysmographic variability index to predict fluid responsiveness[J].Br J Anaesth,2011,107(3):329-335.
[10] HOOD J A,WILSON R J.Pleth variability index to predict fluid responsiveness in colorectal surgery[J].Anesth Analg,2011,113(5):1058-1063.
[11] 马红梅,郭莹莹,吴智宏,等.FloTrac/Vigileo系统监测调控CO2气腹压改善腹腔镜手术患者血流动力学的效果观察[J].中国医学装备,2018,15(8):67-71.
[12] 文雯.老年人经腹腔或后腹腔镜下泌尿外科手术期间呼吸循环参数及动脉血气的变化[D].泸州:西南医科大学,2017.
[13] LIU F,ZHU S,JI Q,et al.The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy[J].Biosci Trends,2015,9(2):129-133.
[14] 岳剑虹,袁维秀,米卫东,等.清醒状态时体位改变对灌注指数和灌注指数变异的影响[J].北京医学,2011,3(8):623-625.
[15] WAJIMA Z,SHIGA T,IMANAGA K.Does pneumoperitoneum affect perfusion index and pleth variability index in patients receiving combined epidural and general anesthesia[J].Biosci Trends,2018,11(6):667-674.
[16] XU Z,ZHANG J,XIA Y,et al.Accuracy of pulse oximeter perfusion index in thoracic epidural anesthesia under basal general anesthesia[J].Int J Clin Exp Med,2014,7(7):1728-1734.
[17] FU Q,MI W D,ZHANG H.Stroke volume variation and pleth variability index to predict fluid responsiveness during resection of primary retroperitoneal tumors in Hans Chinese[J].Biosci Trends,2012,6(1):38-43.
[18] KUWATA S,SUEHIRO K,JURI T,et al.Pleth variability index can predict spinal anaesthesia-induced hypotension in patients undergoing caesarean delivery[J].Acta Anaesthesiol Scand,2018,62(1):75-84.
[19] 吴倩,王嘉锋,倪文,等.人工气腹对全麻患者脉搏灌注变异指数的影响[J].中国医学前沿杂志(电子版),2013,5(3):42-45.
[20] CANNESSON M,DESEBBE O,ROSAMEL P,et al.Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre[J].Br J Anaesth,2008,101(2):200-206.
[21] SISWOJO A S,WONG D M,PHAN T D,et al.Pleth variability index predicts fluid responsiveness in mechanically ventilated adults during general anesthesia for noncardiac surgery[J].J Cardiothorac Vasc Anesth,2014,28(6):1505-1509.
[22] KIM E H,LEE J H,SONG I K,et al.Assessment of dynamic variables of fluid responsiveness to predict desufflation-induced hypotension during paediatric laparoscopic surgery[J].Br J Anaesth,2017,119(5):956-963.
[23] MONNET X,GUERIN L,JOZWIAK M,et al.Pleth variability index is a weak predictor of fluid responsiveness in patients receiving norepinephrine[J].Br J Anaesth,2013,110(2):207-213.
[24] DEMIREL I,BOLAT E,ALTUN A Y,et al.Efficacy of goal-directed fluid therapy via pleth variability index during laparoscopic roux-en-Y gastric bypass surgery in morbidly obese patients[J].Obes Surg,2018,28(2):358-363.
[25] DEBARROS M,CAUSEY M W,CHESLEY P,et al.Reliability of continuous non-invasive assessment of hemoglobin and fluid responsiveness:impact of obesity and abdominal insufflation pressures[J].Obes Surg,2015,25(7):1142-1148.