Goal-directed Liquid Treatment In Stroke Volume Variation Guide Perioperative Of Meta Analysis

Objective:According to the Stroke quantitative change thin (Stroke Volume Variation, SVV) in perioperative fluid therapy were analyzed, and the guidance of the value to optimize the optimal perioperative goal-directed liquid treatment method provides more accurate and effective judgement index. Methods:The study of SVV, fluid therapy for the search term, search all the related references since 2000, after the reading of the literature of information, screening and dynamic capacity into liquid reactive prediction indicators SVV value evaluation of clinical research, judge whether the amount of literature into the meta analysis, evaluation of SVV in guiding perioperative goal-directed liquid treatment value of accuracy. Results:A total of 11 articles were among the 420 patients were included in the study of meta analysis, cases source for ICU and operating rooms, all patients by mechanical control breath, tidal volume between 8-10 ml/kg. Meta into the literature and data, according to the results of the analysis of the SVV baseline values significantly, and the correlation between liquid reactive phase relationship value is 0.717. Predictor of SVV in liquid reactive sensitivity of 82.2%(95% CI 0.762 0.855),84% (95% CI 0.785 0.884), positive likelihood ratio was 5.134 (95% CI 3.716 7.077), and negative likelihood ratio was 0.19 (95% CI 0.059 0.162), diagnosis than the score of 26.189 (95% CI 16.046 43.037). Results showed that the SVV liquid reaction in patients with perioperative enough to accurately predict performance, has diagnostic value. Conclusion:SVV goal-directed liquid treatment in perioperative patients are able to effective guidance to the liquid treatment, making treatment effect maximization.