TITLE:
Usefulness of Monitoring Stroke Volume Variations for Fluid Management During Pediatric Living-Donor Liver Transplantation
AUTHORS:
Yoshihiro Kasagi, Manabu Hashimoto, Shugo Kasuya, Seisuke Sakamoto, Mureo Kasahara, Yasuyuki Suzuki, Eiichi Inada
KEYWORDS:
Pediatric; Living-Donor Liver Transplantation; Fluid Management; Stroke Volume Variation; Reperfusion
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.2 No.4,
September
5,
2012
ABSTRACT: Purpose: Central venous pressure (CVP) is considered to be unsuitable as preload parameter. Stroke volume variation (SVV) has recently been reported to be effective as a preload and fluid responsiveness parameter, and its usefulness for fluid management during living-donor liver transplantation (LDLT). However, use of SVV has not been reported in children. Our aim is to evaluate the use of SVV as a target parameter of circulating blood volume during pediatric LDLT. Methods: This retrospective study was conducted in 40 consecutive patients aged between 5 and 109 months who underwent elective LDLT. Twenty patients underwent LDLT without FloTrac? (C group) and the rest patients underwent LDLT with the FloTrac? monitoring (F group). As a fluid management target, CVP was maintained at 10 mmHg in the C group and SVV at 10% in the F group. We compared MAP and CVP at the times of the greatest decrease within 5 minutes after reperfusion. Results: MAP after reperfusion was significantly decreased in both groups (P