Clinical Study

Hemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients

Table 4

Hemodynamic parameters before and after volume expansion in responders and nonresponders.

Before volumeAfter volume
expansionexpansion

RR, cycles/min
 Nonresponders23 ± 422 ± 4
 Responders23 ± 422 ± 4
HR, beats/min
 Nonresponders97 ± 2297 ± 23
 Responders112 ± 22107 ± 18b
MAP, mm Hg
 Nonresponders79 ± 1383 ± 13b
 Responders80 ± 1490 ± 16b
PP, mm Hg
 Nonresponders66 ± 1968 ± 20
 Responders63 ± 2271 ± 26b
VF, mm Hg
 Nonresponders82.1 ± 20.587.5 ± 22.9b
 Responders79.2 ± 27.894.6 ± 33.4b
SVi, mL/m²
 Nonresponders28.7 ± 4.931.3 ± 5.4b
 Responders28.9 ± 10.739 ± 14.1b
ΔPP, %
 Nonresponders6.6 ± 2.5a4.5 ± 2.2b
 Responders13.5 ± 10.65.5 ± 2.5b
ΔPPdim, %
 Nonresponders7.2 ± 3.5a5.7 ± 2.5a
 Responders20.6 ± 1010.2 ± 6.1b
ΔVF, %
 Nonresponders6.6 ± 1.9a5.1 ± 1.1b
 Responders13.4 ± 10.66.6 ± 3.1b
ΔVFdim, %
 Nonresponders7.4 ± 3a6.3 ± 1.8a
 Responders20.4 ± 10.110.9 ± 5.2b

RR, respiratory rate; HR, heart rate; MAP, mean arterial pressure; PP, pulse pressure; VF, velocity peak of femoral artery flow; SVi, stroke volume index; ΔPP, respiration-induced change in PP; ΔPPdim, deep inspiration maneuver-induced change in PP; ΔVF, respiration-induced change in VF; ΔVFdim, deep inspiration maneuver-induced change in VF; responders, patients with volume expansion-induced changes in stroke volume ≥ 15%. versus responders; versus before volume expansion. Values given as mean ± SD.