Stroke Volume Variation (SVV) as an Indicator of Intraoperative Transfusion Management during Laparoscopic Colectomy
Suzuki, H.; Saima, S.; Arai, T.; Asa, T.; Okuda, Y.
Masui. Japanese Journal of Anesthesiology 65(8): 790-794
2016
ISSN/ISBN: 0021-4892 PMID: 30351588 Document Number: 690423
Intraoperative transfusion manage- ment is difficult during laparoscopic surgery, because peumoperitoneum affects hemodynamics. We studied whether stroke volume variation (SVV) is useful as an indicator of transfusion management Methods : We studied 44 patients undergoing lapa- roscopic colectomy. Patients were randomly allocated to two groups, and the volume of transfusion was decided with the SVV as an indicator in one group (SVV group, n=22) or with conventional indicators, such as blood pressure, heart rate, volume of urine in the other group (control group, n=22) Results : In the SVV group, total transfusion volume and total blood loss during operation were significantly decreased, and the length of hospital stay was signifi- cantly shorter, compared with the control group. We believe that the SVV is a useful indicator of intraoperative transfusi6h management during laparoscopic colectomy.