Frequency Domain Analysis for Assessing Fluid Responsiveness by Using Instantaneous Pulse Rate Variability

Abstract

In the ICU, fluid therapy is conventional strategy for the patient in shock. However, only half of ICU patients have well-responses to fluid therapy, and fluid loading in non-responsive patient delays definitive therapy. Prediction of fluid responsiveness (FR) has become intense topic in clinic. Most of conventional FR prediction method based on time domain analysis, and it is limited ability to indicate FR. This study proposed a method which predicts FR based on frequency domain analysis, named instantaneous pulse rate variability (iPRV). iPRV provides a new indication in very high frequency (VHF) range (0.4-0.8Hz) of spectrum for peripheral responses. Twenty six healthy subjects participated this study and photoplethysmography signal was recorded in supine baseline, during head-up tilt (HUT), and passive leg raising (PLR), which induces variation of venous return and helps for quantitative assessment of FR individually. The result showed the spectral power of VHF decreased during HUT (573.96±756.36 ms2 in baseline; 348.00±434.92 ms2 in HUT) and increased during PLR (573.96±756.36 ms2 in baseline; 718.92±973.70 ms2 in PLR), which present the compensated regulation of venous return and FR. This study provides an effective indicator for assessing FR in frequency domain and has potential to be a reliable system in ICU.

Authors and Affiliations

Pei-Chen Lin, Chia-Chi Chang, Hung-Yi Hsu, Tzu-Chien Hsiao

Keywords

Related Articles

A Mixed Finite Element Method for Elasticity Problem

This paper describes a numerical solution for plane elasticity problem. It includes algorithms for discretization by mixed finite element methods. The discrete scheme allows the utilization of Brezzi - Douglas - Marini e...

 Identification of Critical Node for the Efficient Performance in Manet

 This paper considers a network where nodes are connected randomly and can fail at random times. The critical-node test detects nodes, whose failures are malicious behavior, disconnects or significantly degrades the...

Comparison of the Information Technology Development in Slovakia and Hungary

Nowadays the role of information is increasingly important, so every company has to provide the efficient procurement, processing, storage and visualization of this special resource in hope to stay competitive. More and...

Discovery of Corrosion Patterns using Symbolic Time Series Representation and N-gram Model

There are many factors that can contribute to corrosion in the pipeline. Therefore, it is important for decision makers to analyze and identify the main factor of corrosion in order to take appropriate actions. The facto...

Personalized E-Learning Recommender System using Multimedia Data

Due to the huge amounts of online learning materials, e-learning environments are becoming very popular as means of delivering lectures. One of the most common e-learning challenges is how to recommend quality learning m...

Download PDF file
  • EP ID EP154041
  • DOI 10.14569/IJACSA.2016.070231
  • Views 113
  • Downloads 0

How To Cite

Pei-Chen Lin, Chia-Chi Chang, Hung-Yi Hsu, Tzu-Chien Hsiao (2016). Frequency Domain Analysis for Assessing Fluid Responsiveness by Using Instantaneous Pulse Rate Variability. International Journal of Advanced Computer Science & Applications, 7(2), 229-233. https://europub.co.uk/articles/-A-154041