TY  - JOUR
TI  - Potential value of pleth variability index in intraoperative fluid management of geriatric patients
AB  - Aim: This study was designed to determine the effects of pleth variability index (PVI) guided monitoring on the optimal intravascular volume replacement during hip and knee arthroplasty in geriatric patients, and whether using PVI could reduce blood transfusion and vasopressor requirements. Methods: One-hundred geriatric patients who underwent elective hip and knee arthroplasty were included, assigned to either PVI group (volume replacement was PVI guided) or to a control group (volume replacement was based on traditional methods). Sealed envelope technique was used for randomization. Perioperative hemodynamic parameters, infusion rate of crystalloids, colloids, blood/blood products, ephedrine hydrochloride requirements and perioperative urine outputs were recorded. Results: Crystalloid infusion rate was higher (9.5 vs. 6.8 ml/kg/h, p<0.001) and ephedrine requirement was lower (2.0% vs. 38.0%, p<0.001) in group PVI. Postoperatively, the percentage of patients with high BUN, creatinine, and lactate levels were higher among controls (p<0.001). PVI group had significantly lower mean heart rate intraoperatively. Conclusions: Our findings suggest that intraoperative fluid replacement guided by PVI monitoring provides hemodynamic stability, preserves normal levels of BUN, creatinine, and lactate, and reduces unnecessary use of vasopressor agents in elderly surgical patients.
AU  - Orhon ergün, Meliha
AU  - zengin, ulgen
AU  - Bilgili, Beliz
AU  - UMUROGLU, Tumay
DO  - 10.25000/acem.1080760
PY  - 2022
JO  - Archives of Clinical and Experimental Medicine
VL  - 7
IS  - 1
SN  - 2564-6567
SP  - 15
EP  - 20
DB  - TRDizin
UR  - http://search/yayin/detay/1144578
ER  -