Kidney Transplantation
Conditions
Keywords
Fluid Responsiveness, Pulse Pressure Variation, Stroke Volume Variation
Brief summary
The aim pf this prospective study is to investigate the ability of stroke volume variation (SVV) and pulse pressure variation (PPV) to predict fluid responsiveness in patients undergoing kidney transplantation.
Detailed description
Optimal intraoperative fluid management guided by central venous pressure (CVP), a traditional intravascular volume status indicator has been established to improve transplanted graft function during renal transplantation. Recently, stroke volume variation (SVV) and pulse pressure variation (PPV), dynamic preload indices derived from the arterial waveform are increasingly advocated as predictors of fluid responsiveness in anesthetized patients and critically ill patients. However, their usefulness in renal failure patients undergoing renal transplantation has not been investigated. Thus, the aims of this study is to investigate accuracy of SVV and PPV for predicting fluid responsiveness in patients undergoing kidney transplantation.
Interventions
fluid loading was performed by using 7ml/kg of 6% hydroxyethyl starch within 10 min to all patients
Sponsors
Study design
Eligibility
Inclusion criteria
\- chronic renal failure patients undergoing renal transplantation
Exclusion criteria
* patients with cardiac arrhythmia * patients with reduced left ventricular function (EF \< 40%) * patients with valvular heart disease * patients intracardiac shunt * patients with pulmonary hypertension * patients with extensive peripheral vascular disease * patients with preoperative use of vasopressors or inotropics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| stroke volume variation from Flo stroke volume variation from FloTrac/Vigileo system | within 5 minutes after fluid expansion | predictable of stroke volume variation from FloTrac/Vigileo system for fluid responsiveness |
| pulse pressure variation from philips Intelivue MP70 monitor | within 5 minutes after fluid expansion | predictable of pulse pressure variation from philips Intelivue MP70 monitor for fluid responsiveness |
Countries
South Korea