Volume 22 Issue 1
Jan.  2024
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ZHANG Xueyin, LUO Hong, CHEN Lijian. The correlation between carotid artery ultrasound index and stroke variability in elderly patients undergoing general gastrointestinal anesthesia[J]. Chinese Journal of General Practice, 2024, 22(1): 42-45. doi: 10.16766/j.cnki.issn.1674-4152.003327
Citation: ZHANG Xueyin, LUO Hong, CHEN Lijian. The correlation between carotid artery ultrasound index and stroke variability in elderly patients undergoing general gastrointestinal anesthesia[J]. Chinese Journal of General Practice, 2024, 22(1): 42-45. doi: 10.16766/j.cnki.issn.1674-4152.003327
shu

The correlation between carotid artery ultrasound index and stroke variability in elderly patients undergoing general gastrointestinal anesthesia

doi: 10.16766/j.cnki.issn.1674-4152.003327
  • 1.

    Department of Anesthesiology, Hefei First People's Hospital, Hefei, Anhui 230061, China

Funds:

 YLGX-WS-2020001

 hwk2017zd011

  • Received Date: 2023-06-14
    Available Online: 2024-03-09
    Abstract
  •   Objective  To evaluate the predictive ability of carotid corrected flow time (FTc) and carotid peak flow variability (ΔVpeak) for stroke volume variation (SVV) ≥13% during induction of mechanical ventilation under general anaesthesia in elderly patients.  Methods  A total of 60 patients undergoing laparoscopic gastrointestinal surgery at Hefei First People's Hospital from July 2021 to December 2022 were selected. The ultrasound parameters and hemodynamic parameters were measured 5 min after endotracheal intubation (T1). SVV≥13% was defined as responder group (R group); SVV < 13% was defined as non-responder group (N group). Finally, 30 patients were included in the R and N group, respectively. Five minutes after the volume loading test(T2), the same hemodynamic parameters were measured. Pearson correlation coefficient was used to analyze the correlation between ultrasound parameters and SVV. ROC curve was used to evaluate the ability of FTc and ΔVpeak to predict SVV≥13%.  Results  FTc in group R was significantly lower than that in group N from T0 (before induction of anesthesia) to T2, while ΔVpeak was significantly higher than that in group N (P < 0.05). FTc at T2 was significantly higher than that at T0, whereas ΔVpeak at T2 was significantly lower than that at T0 in both groups (P < 0.05). FTc predicted SVV≥13% with 83.3% sensitivity and 76.7% specificity. ΔVpeak predicted SVV≥13% with 80.0% sensitivity and 63.3% specificity. Pearson correlation analysis showed that the correlation coefficient between FTc and SVV was -0.674, indicating a negative correlation between FTc and SVV. The correlation coefficient between ΔVpeak and SVV was 0.765, indicating that there was a positive correlation between ΔVpeak and SVV.  Conclusion  FTc and ΔVpeak correlate well with SVV. Both FTc and ΔVpeak can predict fluid responsiveness during general anaesthesia in elderly patients.

     

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