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The Relation of Calculated Plasma Volume Status to Sublingual Microcirculatory Blood Flow and Organ Injury.
Laou, Eleni; Papagiannakis, Nikolaos; Ntalarizou, Nicoletta; Choratta, Theodora; Angelopoulou, Zacharoula; Annousis, Konstantinos; Sakellakis, Minas; Kyriakaki, Aikaterini; Ragias, Dimitrios; Michou, Anastasia; Chalkias, Athanasios.
Afiliación
  • Laou E; Department of Anesthesiology, Agia Sophia Children's Hospital, 11527 Athens, Greece.
  • Papagiannakis N; First Department of Neurology, Eginition University Hospital, Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
  • Ntalarizou N; Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, Greece.
  • Choratta T; First Department of Surgery, Metaxa Cancer Hospital, 18537 Piraeus, Greece.
  • Angelopoulou Z; Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, Greece.
  • Annousis K; Department of Emergency Medicine, Tzaneio General Hospital, 18543 Piraeus, Greece.
  • Sakellakis M; Department of Medical Oncology, Metropolitan Hospital, 10461 Piraeus, Greece.
  • Kyriakaki A; High Dependency Unit, General Hospital of Syros Vardakeio and Proio, 84100 Syros, Greece.
  • Ragias D; Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, Greece.
  • Michou A; Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, Greece.
  • Chalkias A; Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, Greece.
J Pers Med ; 13(7)2023 Jun 30.
Article en En | MEDLINE | ID: mdl-37511698
BACKGROUND: The calculated plasma volume status (cPVS) was validated as a surrogate of intravascular filling. The aim of this study is to assess the cPVS in relation to sublingual perfusion and organ injury. METHODS: Pre- and postoperative cPVS were obtained by determining the actual and ideal plasma volume levels in surgical patients. The sublingual microcirculation was assessed using SDF imaging, and we determined the De Backer score, the Consensus Proportion of Perfused Vessels (Consensus PPV), and the Consensus PPV (small). Our primary outcome was the assessment of the distribution of cPVS and its association with intraoperative sublingual microcirculation and postoperative complications. RESULTS: The median pre- and postoperative cPVS were -7.25% (IQR -14.29--1.88) and -0.4% (IQR -5.43-6.06), respectively (p < 0.001). The mean intraoperative administered fluid volume was 2.5 ± 2.5 L (1.14 L h-1). No statistically significant correlation was observed between the pre- or postoperative cPVS and sublingual microcirculation variables. Higher preoperative (OR = 1.04, p = 0.098) and postoperative cPVS (OR = 1.057, p = 0.029) were associated with postoperative organ injury and complications (sepsis (30%), anemia (24%), respiratory failure (13%), acute kidney injury (6%), hypotension (6%), stroke (3%)). CONCLUSIONS: The calculated PVS was associated with an increased risk of organ injury and complications in this cohort.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pers Med Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pers Med Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza