The use of Pleth Variability Index (PVI) for the assessment of patients with dehydration in the pediatric emergency department

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Published: Jan 24, 2022
DOI: https://doi.org/10.36472/msd.v9i1.666
Keywords:
Pediatric Dehydration Pleth Variability Index

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Yüksel Bıcılıoğlu
Izmir Tepecik Training and Research Hospital, Pediatric Emergency Deaprtment, Izmir, TR
Alkan Bal
Celal Bayar University, Faculty of Medicine, Pediatrics, Pediatric Emergency Department Manisa, TR
Süleyman Geter
Sanlıurfa Training and Research Hospital, Pediatrics. Şanlıurfa, TR
Halil Kazanasmaz
Harran University, Faculty of Medicine, Department of Pediatrics, Şanlıurfa, TR
Esin Ergönül
Dokuz Eylül University, Faculty of Medicine, Department of Medical Education, Izmir, TR
Ufuk Bal
Muğla Sıtkı Koçman University, Faculty of Enginering, Department of Electrics and Electronics, Muğla, TR

Abstract

Objective: There is not a non-invasive, valid, and reliable criterion yet that can be used to determine the degree of dehydration and responsiveness to fluid treatment. In the literature, Pleth Variability Index (PVI) has been studied as one of the additional tools that can be used to determine the degree of dehydration. Studies on this topic have been conducted mainly on patients who are connected to mechanical ventilators. This study was conducted to assess the feasibility of PVI measurement in paediatric patients who breathe spontaneously, are dehydrated moderately and need fluid repletion.


Material and Methods: For this purpose, PVI, blood gas (pH, HCO3, lactate), and body weights of the patients were measured before and after fluid replacement. The delta (Δ) values were calculated by taking the difference between the values before and after fluid therapy, and the correlation was examined.


Results: After one hour of fluid treatment, weight, physical examination, blood gas (bicarbonate, lactate, pH) values improved significantly compared to pre-fluid levels, and high PVI values were found to decrease significantly. However, no significant correlation was found between PVI change (ΔPVI) and other variables (Δ kilo, pH, lactate, bicarbonate), which are used to determine the degree of dehydration.


Conclusion: According to the findings of our study, PVI alone does not provide adequate and reliable data in children who are dehydrated moderately and breathe spontaneously

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How to Cite
Bıcılıoğlu, Y., Bal, A., Geter, S., Kazanasmaz, H., Ergönül, E., & Bal, U. (2022). The use of Pleth Variability Index (PVI) for the assessment of patients with dehydration in the pediatric emergency department. Medical Science and Discovery, 9(1), 56–60. https://doi.org/10.36472/msd.v9i1.666
Issue
Vol. 9 No. 1 (2022): Medical Science and Discovery
Section
Research Article
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

https://creativecommons.org/licenses/by-nc/4.0/

Received 2022-01-06
Accepted 2022-01-17
Published 2022-01-24

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