Ge-healthcare Arterial Pressure Variation Quick Guide Manuel d'utilisateur

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GE Healthcare
© 2009 General Electric Company – All rights reserved.
GE and GE Monogram are trademarks of
General Electric Company.
General Electric Company reserves the right to make
changes in specications and features shown herein,
or discontinue the product described at any time without
notice or obligation. Contact your GE representative
for the most current information.
GE Healthcare Finland Oy, a General Electric company,
doing business as GE Healthcare.
CAUTION: U.S. Federal law restricts this device to sale by or on
the order of a licensed medical practitioner.
Consult the monitor User’s Guide for detailed instructions.
Arterial Pressure Variation
Quick Guide
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and information technologies, medical diagnostics,
patient monitoring systems, drug discovery, and
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What is arterial pressure variation?
Positive pressure ventilation causes blood pressure
changes in the chest cavity: inspiratory phase increases
the pressure and expiratory phase decreases it.
The magnitude of these changes is dependent on the
uid status of the patient. In hypovolemic patients
these swings are higher in amplitude compared to
normovolemic or hypervolemic patients. This is a well
known phenomenon.
The arterial pressure variation algorithm looks for
respiratory changes in the arterial blood pressure.
It only uses the arterial blood pressure analysis and
does not use any other parameter to recognize the
respiratory cycle.
Arterial pressure variation can be used to assess uid
responsiveness continuously and without
extra procedures
1
.
Availability of the arterial pressure variation monitoring is
subject to the software version of the GE patient monitor.
In the S/5 product line L-ANE07(A) or L-ICU07(A) or newer
is required.
1 Michard, Changes in Arterial Pressure during Mechanical
Ventilation. Anesthesiology (103) 419-28 (2005).
2. Perel, A., et. al. Systolic blood pressure variation is a
sensitive indicator of hypovolemia in ventilated dogs
subjected to graded hemorrhage. Anesthesiology (67),
498-502 (1987).
3. Michard, F., et. al. Clinical use of respiratory changes in
arterial pulse pressure to monitor the hemodynamic eects
of PEEP. Am J Respir Crit Care Med, (159), 935-9 (1999).
4. Preisman, S., et. al. Predicting uid responsiveness
in patients undergoing cardiac surgery: functional
haemodynamic parameters including the Respiratory
Systolic Variation Test and static preload indicators.
Br J Anaesth (2005).
5. Deandre, E., et. al. Delta down compared with delta pulse
pressure as an indicator of volaemia during intracranial
surgery. Br J Anaesth, 100, 245-250 (2008).
PP
min
PP
max
EMEA M1178891/0509
Global version DOC0524295
GE Healthcare
P.O. Box 900, FIN-00031 GE, Finland
Tel. +358 10 394 11
Fax +358 9 146 3310
www.gehealthcare.com
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Résumé du contenu

Page 1 - Quick Guide

GE Healthcare© 2009 General Electric Company – All rights reserved.GE and GE Monogram are trademarks ofGeneral Electric Company.General Electric Compa

Page 2 - Why monitor SPV/dPP?

Arterial blood pressure variation in GE patient monitoringSystolic pressure variation (SPV) and pulse pressure variation (dPP) reect respiratory cha

Page 3

Arterial blood pressure variation in GE patient monitoringSystolic pressure variation (SPV) and pulse pressure variation (dPP) reect respiratory cha

Page 4

GE Healthcare© 2009 General Electric Company – All rights reserved.GE and GE Monogram are trademarks ofGeneral Electric Company.General Electric Compa

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