Postoperative acute circulatory faiure Tidal volume Shock Stroke volume
Conditions
Interventions
The transient increase in VT from 6 to 8 ml/kg (VT6-
8),
8 to 10 ml/kg (VT8-
10) and 6 to 10 ml/kg (VT6-
10)
Experimental Procedure/Surgery
Sponsors
Faculty of Medicine, Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Postoperative adult patients with intermediate to high risk postoperative pulmonary complications ventilated with low tidal volume ventilation 2. Patients who had postoperative circulatory failure defined as one of the following; MAP 4 mmol/l, urine output < 0.5 ml/kg/hr at least one hour. 3. Patients who already had arterial line in place
Exclusion criteria
Exclusion criteria: 1. Limitation of PPV and SVV use 2. Pregnancy 3. Use of plateau pressure more than 30 cmH2O before inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The prediction of fluid responsiveness After inclusion The increase of stroke volume after fluid loading | — |
Secondary
| Measure | Time frame |
|---|---|
| The cut point of delta pulse pressure variation and stroke volume variation After inclusion The increase of stroke volume after fluid loading | — |
Contacts
Public ContactChawika Pisitsak
Outcome results
None listed