Arterial pulse pressure variation suitability in critical care: A French national survey

Marc Olivier Fischer, Yazine Mahjoub, Clément Boisselier, Benoît Tavernier, Hervé Dupont, Marc Leone, Jean Yves Lefrant, Jean Louis Gérard, Jean Luc Hanouz, Jean Luc Fellahi, Y. M. Metayer, D. du Cheyron, X. Valette, M. Cheikh, M. Levrard, D. Samba, K. Monthe-Sagan, B. Leroy, A. Bignon, G. LebuffeK. Guernon, P. Tirot, J. El Baaj, P. Aussant, O. Lesieur, P. Hazera, B. Savary, J. C. Orban, C. Ichai, C. Canevet, P. G. Guitard, B. Veber, J. Fusciardi, F. Espitalier, B. Riegel, B. Riu-Poulenc, S. Provenchère, C. Fleury, K. Merouani, G. Plantefeve, P. Menestret, J. F. Payen, O. Mimoz, D. Flattres, K. Asehnoune, W. S. Mfam, F. Godde, J. M. Cachera, J. Morel, C. Auboyer, S. D. Barbar, A. Bouariche, M. Radutoiu, O. Joannes-Boyau, G. Gueret, V. Vermeersch

Research output: Contribution to journalArticle

Abstract

Objective: Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design: A one-day French national survey. Patients and methods: A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results: Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion: The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.

Original languageEnglish (US)
Pages (from-to)23-28
Number of pages6
JournalAnaesthesia, critical care & pain medicine
Volume34
Issue number1
DOIs
StatePublished - Feb 1 2015
Externally publishedYes

Fingerprint

Critical Care
Arterial Pressure
Blood Pressure
Intensive Care Units
Vascular Access Devices
Surveys and Questionnaires
Critical Illness
Respiration
Incidence

Keywords

  • Critical care
  • Monitoring
  • Predicting fluid responsiveness
  • Pulse pressure variation
  • Survey

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Critical Care and Intensive Care Medicine
  • Medicine(all)

Cite this

Fischer, M. O., Mahjoub, Y., Boisselier, C., Tavernier, B., Dupont, H., Leone, M., ... Vermeersch, V. (2015). Arterial pulse pressure variation suitability in critical care: A French national survey. Anaesthesia, critical care & pain medicine, 34(1), 23-28. https://doi.org/10.1016/j.accpm.2014.08.001

Arterial pulse pressure variation suitability in critical care : A French national survey. / Fischer, Marc Olivier; Mahjoub, Yazine; Boisselier, Clément; Tavernier, Benoît; Dupont, Hervé; Leone, Marc; Lefrant, Jean Yves; Gérard, Jean Louis; Hanouz, Jean Luc; Fellahi, Jean Luc; Metayer, Y. M.; du Cheyron, D.; Valette, X.; Cheikh, M.; Levrard, M.; Samba, D.; Monthe-Sagan, K.; Leroy, B.; Bignon, A.; Lebuffe, G.; Guernon, K.; Tirot, P.; El Baaj, J.; Aussant, P.; Lesieur, O.; Hazera, P.; Savary, B.; Orban, J. C.; Ichai, C.; Canevet, C.; Guitard, P. G.; Veber, B.; Fusciardi, J.; Espitalier, F.; Riegel, B.; Riu-Poulenc, B.; Provenchère, S.; Fleury, C.; Merouani, K.; Plantefeve, G.; Menestret, P.; Payen, J. F.; Mimoz, O.; Flattres, D.; Asehnoune, K.; Mfam, W. S.; Godde, F.; Cachera, J. M.; Morel, J.; Auboyer, C.; Barbar, S. D.; Bouariche, A.; Radutoiu, M.; Joannes-Boyau, O.; Gueret, G.; Vermeersch, V.

In: Anaesthesia, critical care & pain medicine, Vol. 34, No. 1, 01.02.2015, p. 23-28.

Research output: Contribution to journalArticle

Fischer, MO, Mahjoub, Y, Boisselier, C, Tavernier, B, Dupont, H, Leone, M, Lefrant, JY, Gérard, JL, Hanouz, JL, Fellahi, JL, Metayer, YM, du Cheyron, D, Valette, X, Cheikh, M, Levrard, M, Samba, D, Monthe-Sagan, K, Leroy, B, Bignon, A, Lebuffe, G, Guernon, K, Tirot, P, El Baaj, J, Aussant, P, Lesieur, O, Hazera, P, Savary, B, Orban, JC, Ichai, C, Canevet, C, Guitard, PG, Veber, B, Fusciardi, J, Espitalier, F, Riegel, B, Riu-Poulenc, B, Provenchère, S, Fleury, C, Merouani, K, Plantefeve, G, Menestret, P, Payen, JF, Mimoz, O, Flattres, D, Asehnoune, K, Mfam, WS, Godde, F, Cachera, JM, Morel, J, Auboyer, C, Barbar, SD, Bouariche, A, Radutoiu, M, Joannes-Boyau, O, Gueret, G & Vermeersch, V 2015, 'Arterial pulse pressure variation suitability in critical care: A French national survey', Anaesthesia, critical care & pain medicine, vol. 34, no. 1, pp. 23-28. https://doi.org/10.1016/j.accpm.2014.08.001
Fischer, Marc Olivier ; Mahjoub, Yazine ; Boisselier, Clément ; Tavernier, Benoît ; Dupont, Hervé ; Leone, Marc ; Lefrant, Jean Yves ; Gérard, Jean Louis ; Hanouz, Jean Luc ; Fellahi, Jean Luc ; Metayer, Y. M. ; du Cheyron, D. ; Valette, X. ; Cheikh, M. ; Levrard, M. ; Samba, D. ; Monthe-Sagan, K. ; Leroy, B. ; Bignon, A. ; Lebuffe, G. ; Guernon, K. ; Tirot, P. ; El Baaj, J. ; Aussant, P. ; Lesieur, O. ; Hazera, P. ; Savary, B. ; Orban, J. C. ; Ichai, C. ; Canevet, C. ; Guitard, P. G. ; Veber, B. ; Fusciardi, J. ; Espitalier, F. ; Riegel, B. ; Riu-Poulenc, B. ; Provenchère, S. ; Fleury, C. ; Merouani, K. ; Plantefeve, G. ; Menestret, P. ; Payen, J. F. ; Mimoz, O. ; Flattres, D. ; Asehnoune, K. ; Mfam, W. S. ; Godde, F. ; Cachera, J. M. ; Morel, J. ; Auboyer, C. ; Barbar, S. D. ; Bouariche, A. ; Radutoiu, M. ; Joannes-Boyau, O. ; Gueret, G. ; Vermeersch, V. / Arterial pulse pressure variation suitability in critical care : A French national survey. In: Anaesthesia, critical care & pain medicine. 2015 ; Vol. 34, No. 1. pp. 23-28.
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abstract = "Objective: Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design: A one-day French national survey. Patients and methods: A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results: Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88{\%}) patients and the presence of an arterial line in 324 (70{\%}) patients. One hundred and twenty-seven (27{\%}) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3{\%}) had no confounding factors modifying the threshold value of the PPV. Conclusion: The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18{\%} and 1.3{\%} in this one-day French national survey.",
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T2 - A French national survey

AU - Fischer, Marc Olivier

AU - Mahjoub, Yazine

AU - Boisselier, Clément

AU - Tavernier, Benoît

AU - Dupont, Hervé

AU - Leone, Marc

AU - Lefrant, Jean Yves

AU - Gérard, Jean Louis

AU - Hanouz, Jean Luc

AU - Fellahi, Jean Luc

AU - Metayer, Y. M.

AU - du Cheyron, D.

AU - Valette, X.

AU - Cheikh, M.

AU - Levrard, M.

AU - Samba, D.

AU - Monthe-Sagan, K.

AU - Leroy, B.

AU - Bignon, A.

AU - Lebuffe, G.

AU - Guernon, K.

AU - Tirot, P.

AU - El Baaj, J.

AU - Aussant, P.

AU - Lesieur, O.

AU - Hazera, P.

AU - Savary, B.

AU - Orban, J. C.

AU - Ichai, C.

AU - Canevet, C.

AU - Guitard, P. G.

AU - Veber, B.

AU - Fusciardi, J.

AU - Espitalier, F.

AU - Riegel, B.

AU - Riu-Poulenc, B.

AU - Provenchère, S.

AU - Fleury, C.

AU - Merouani, K.

AU - Plantefeve, G.

AU - Menestret, P.

AU - Payen, J. F.

AU - Mimoz, O.

AU - Flattres, D.

AU - Asehnoune, K.

AU - Mfam, W. S.

AU - Godde, F.

AU - Cachera, J. M.

AU - Morel, J.

AU - Auboyer, C.

AU - Barbar, S. D.

AU - Bouariche, A.

AU - Radutoiu, M.

AU - Joannes-Boyau, O.

AU - Gueret, G.

AU - Vermeersch, V.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Objective: Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design: A one-day French national survey. Patients and methods: A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results: Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion: The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.

AB - Objective: Arterial pulse pressure variation (PPV) has been used as an accurate index to predict fluid responsiveness. However, many confounding factors have been recently described. The aims of this study were to assess the conditions of applicability of PPV in intensive care units (ICU). Study design: A one-day French national survey. Patients and methods: A form assessing the suitability of PPV was completed by practitioners for each critically-ill patient included on a set day. Results: Four hundred and sixty-five patients were included in 36 ICUs. A regular sinus rhythm was noted in 408 (88%) patients and the presence of an arterial line in 324 (70%) patients. One hundred and twenty-seven (27%) patients were mechanically ventilated without spontaneous breathing. Only six patients (1.3%) had no confounding factors modifying the threshold value of the PPV. Conclusion: The incidence of ICU patients in whom PPV was suitable and without confounding factors were respectively 18% and 1.3% in this one-day French national survey.

KW - Critical care

KW - Monitoring

KW - Predicting fluid responsiveness

KW - Pulse pressure variation

KW - Survey

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