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العنوان
Relation between stroke volume variation and central venous pressure in fluid management for pediatric patients undergoing living donor renal transplantation :
المؤلف
Basma Gaber El bazو
هيئة الاعداد
باحث / Basma Gaber El baz
مشرف / Karim Kamal Fahim Girgis
مشرف / Akram Shahat Ahmed Eladawy
مشرف / Hany Mohammed El-Hadi Shoukat
مشرف / Sara Farouk Kassem Habib
الموضوع
Anesthesia and Surgical<br>critical care
تاريخ النشر
2022.
عدد الصفحات
138 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
6/6/2022
مكان الإجازة
جامعة القاهرة - كلية الطب - Anesthesia and Surgical critical care
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background: Renal transplantation is one of the treatment methods of
patients with end-stage renal disease undergoing hemodialysis. Optimal
fluid therapy is very crucial to decrease the incidences of delayed graft
function after renal transplantation.
Aim: To investigate the efficacy of stroke volume variation (SVV) in
predicting fluid responsiveness and comparing it to central venous
pressure (CVP) in response to goal directed fluid management during
living donor pediatric renal transplantation.
Method: The CVP, SVV and TFC were measured as indicator for fluid
management in pediatric renal transplantation patients.
Results: No significant correlation between CVP and SVV, the presence
of weak positive correlation between CVP and stroke Volume Index
(SVI), the presence of weak positive correlation between CVP and
thoracic fluid content (TFC) and no significant correlation between CVP
trending value and each of SVV, SVI and TFC trending values. SVV,
SVI and TFC were not able to diagnose CVP>15 cmH2O.
Conclusions: SVV is useful in predicting hypovolemia but not
hypervolemia in living donor pediatric renal transplantation patients.
CVP is still crucial to guide the fluid therapy however other parameters
are needed to be involved with CVP in order to more precise fluid
management in pediatric renal transplantation patients.