Pleth variability index and fluid management practices: a multicenter service evaluation

Patrice Forget* (Corresponding Author), Simon Lacroix, Eric P. Deflandre, Anne Pirson, Nicolas Hustinx, Olivier Simonet, Fabrice Wandji, Serge von Montigny, Jibba Amraoui

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objectives: The introduction of a new technology has the potential to modify clinical practices, especially if easy to use, reliable and non-invasive. This observational before/after multicenter service evaluation compares fluid management practices during surgery (with fluids volumes as primary outcome), and clinical outcomes (secondary outcomes) before and after the introduction of the Pleth Variability Index (PVI), a non-invasive fluid responsiveness monitoring. Results: In five centers, 23 anesthesiologists participated during a 2-years period. Eighty-eight procedures were included. Median fluid volumes infused during surgery were similar before and after PVI introduction (respectively, 1000 ml [interquartile range 25–75 [750–1700] and 1000 ml [750–2000]). The follow-up was complete for 60 from these and outcomes were similar. No detectable change in the fluid management was observed after the introduction of a new technology in low to moderate risk surgery. These results suggest that the introduction of a new technology should be associated with an implementation strategy if it is intended to be associated with changes in clinical practice.

Original languageEnglish
Article number293
JournalBMC Research Notes
Publication statusPublished - 28 Jul 2021


Dive into the research topics of 'Pleth variability index and fluid management practices: a multicenter service evaluation'. Together they form a unique fingerprint.

Cite this