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Use of plethysmographic variability index derived from the Massimo® pulse oximeter to predict fluid or preload responsiveness: a systematic review and meta-analysis
Journal article   Peer reviewed

Use of plethysmographic variability index derived from the Massimo® pulse oximeter to predict fluid or preload responsiveness: a systematic review and meta-analysis

J.Y. Yin and K.M. Ho
Anaesthesia, Vol.67(7), pp.777-783
2012
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Abstract

This systematic review and meta-analysis assessed the accuracy of plethysmographic variability index derived from the Massimo® pulse oximeter to predict preload responsiveness in peri-operative and critically ill patients. A total of 10 studies were retrieved from the literature, involving 328 patients who met the selection criteria. Overall, the diagnostic odds ratio (16.0; 95% CI 5-48) and area under the summary receiver operating characteristic curve (0.87; 95% CI 0.78-0.95) for plethysmographic variability index to predict fluid or preload responsiveness was very good, but significant heterogeneity existed. This could be explained by a lower accuracy of plethysmographic variability index in spontaneously breathing or paediatric patients and those studies that used pre-load challenges other than colloid fluid. The results indicate specific directions for future studies.

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Citation topics
1 Clinical & Life Sciences
1.154 Assisted Ventilation
1.154.360 Procalcitonin
Web Of Science research areas
Anesthesiology
ESI research areas
Clinical Medicine
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