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Predicting fluid responsiveness in theatre
Glasgow, UK
* E-mail: colin.runcie@northglasgow.scot.nhs.uk
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EditorI read with interest the article by Solus-Biguenet and colleagues1 which demonstrated clearly the ability of dynamic tests of the circulation to predict fluid responsiveness intraoperatively. They are the first group to do so with a non-invasive dynamic test, namely respiratory variations in non-invasive pulse pressure but they have not discussed the value of systolic pressure variation (SPV) with respiration and I think this is an omission.
In 2003, Tavernier and colleagues2 found that the delta down component of SPV could guide fluid therapy during phaechromocytoma surgery, illustrating its ability to clarify the mechanism of hypotension
Lille, France
* E-mail: btavernier@chru-lille.fr
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