Use of Pulse Oximeter Waveform as a Non Invasive Functional Haemodynamic Monitoring Technique

  • M. Cannesson
  • J.-J. Lehot
Conference paper


Recently published studies have shown that intraoperative fluid optimization decreases postoperative morbidity and hospital stay [1]. On the other hand, if inappropriate, volume expansion may have deleterious effects. Therefore, preload dependence and fluid responsiveness assessments are of major importance during surgery. Static indicators of fluid responsiveness such as central venous pressure (CVP), pulmonary capillary wedge pressure (PCWP), or left ventricular end diastolic area index (LVEDAI) are invasive or uneasily available and have been shown to be poor predictors of fluid responsiveness [2, 3, 4, 5, 6]. Dynamic indicators, relying on the respiratory variations in stroke volume or its surrogates in mechanically ventilated patients, have been shown to be superior to static indicators for the prediction of fluid responsiveness [2, 3, 4, 5, 6]. However, they are either invasive (respiratory variations in arterial pulse pressure (ΔPP), stroke volume variations) with their associated complications [7, 8], technically challenging (respiratory variations in pulse Doppler aortic flow velocity, inferior vena cava diameter) or not widely available (oesophageal Doppler [9]).


Pulmonary Capillary Wedge Pressure Pulse Oximeter Fluid Responsiveness Stroke Volume Variation Respiratory Variation 


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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • M. Cannesson
    • 1
  • J.-J. Lehot
    • 1
  1. 1.Department of AnaesthesiologyHôpital Louis PradelBronFrance

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