Goal-Directed Fluid Management with Noninvasive and Continuous Pleth Variability Index
Fluid management is central to successful care of surgical and intensive care patients. Traditional fluid management strategies are invasive and lack predictive value. Newer methods are more accurate but are invasive and/or costly. Pleth Variability Index (PVI) provides clinicians with a noninvasive and continuous method to aid fluid responsiveness monitoring. The evidence for PVI to help clinicians assess fluid responsiveness and improve fluid management using goal-directed strategies is discussed.
Maxime Cannesson, MD, PhD
Dr. Cannesson is an Associate Professor of Anesthesiology in the Department of Anesthesiology & Perioperative Care at the University of California, Irvine. His research focuses on noninvasive hemodynamic monitoring, perioperative hemodynamic optimization, and new technologies applied to anesthesia and intensive care.
Clinical Studies
- Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre
- Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery
- Pleth variability index predicts fluid responsiveness in critically ill patients
- Goal-Directed Fluid Management Based on the Pulse Oximeter–Derived Pleth Variability Index Reduces Lactate Levels and Improves Fluid Management
Presentation Slides
- Noninvasive and Continuous Fluid Responsiveness Monitoring with Pleth Variability Index (PVI)
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Note: These are standard slides on this topic and are not the slides from the above speaker