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Use of plethysmographic variability index derived from the Massimo® pulse oximeter to predict fluid or preload responsiveness: a systematic review and meta-analysis

Yin, J.Y. and Ho, K.M. (2012) Use of plethysmographic variability index derived from the Massimo® pulse oximeter to predict fluid or preload responsiveness: a systematic review and meta-analysis. Anaesthesia, 67 (7). pp. 777-783.

Link to Published Version: http://dx.doi.org/10.1111/j.1365-2044.2012.07117.x
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Abstract

This systematic review and meta-analysis assessed the accuracy of plethysmographic variability index derived from the Massimo® pulse oximeter to predict preload responsiveness in peri-operative and critically ill patients. A total of 10 studies were retrieved from the literature, involving 328 patients who met the selection criteria. Overall, the diagnostic odds ratio (16.0; 95% CI 5-48) and area under the summary receiver operating characteristic curve (0.87; 95% CI 0.78-0.95) for plethysmographic variability index to predict fluid or preload responsiveness was very good, but significant heterogeneity existed. This could be explained by a lower accuracy of plethysmographic variability index in spontaneously breathing or paediatric patients and those studies that used pre-load challenges other than colloid fluid. The results indicate specific directions for future studies.

Publication Type: Journal Article
Publisher: Wiley
Copyright: © 2012 The Association of Anaesthetists of Great Britain and Ireland
URI: http://researchrepository.murdoch.edu.au/id/eprint/33923
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