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Evaluation the data behind using pulse pressure variation (ppv) as a method to predict fluid/volume responsiveness in resuscitation. The medical practitioner who performs any procedure is responsible for determining and utilizing the appropriate techniques, devices and treatments for each individual. Monitoring arterial pressure variation, i.e
Pulse pressure variation (PPV)-meter summarizing the clinical meaning... | Download Scientific
Spv/ppv, helps to answer the question of fluid responsiveness and can be used to guide fluid expansion therapy.4 spv/ppv parameters cannot, however, indicate what type of fluid is the most suitable for the therapy Lidco ltd, as the manufacturer and supplier of pulseco, lidcoplus, lidcorapid and lidcounity medical devices, does not practice medicine and does not recommend these normal parameter metrics for use on a specific patient The optimal ppv threshold was determined with the youden’s index [19]
In line with a more clinically useful approach that was recently suggested [19, 20, 21] we also adopted a “grey zone”, or two cutoffs, approach to describe the ppv range of values for which formal clinical conclusions cannot be reached.
Use is otherwise similar to svv normal ppv Likely to be volume responsive accurately measured only if on controlled mechanical ventilation and in normal sinus rhythm use contraindicated if having arrhythmias or spontaneous ventilation (irregular nature of spontaneous breaths causes.