Pleth Variability Index (PVi®)

Pleth Variability Index (PVi®)

Masimo is passionate about making innovative technologies that give clinicians the tools they need to do what is best for patient care. That's why it is gratifying to see so many clinicians and clinical researchers take the time to evaluate our products and technologies.

 

Click on the links below to read featured studies for Masimo’s technologies, or in the sections below for access by subject area to all studies.

Clinical Evidence

Plethysmography variability index guided fluid management is superior to conventional approach for elective urological surgery in children - a prospective randomised controlled trial.

Dhir A, Bhardwaj N, Malik MA, Mathew PJ. Eur J Anaesthesiol. 2024 May 27. doi: 10.1097/EJA.0000000000002014.

Comparison between perfusion index, pleth variability index, and pulse pressure variability for prediction of hypotension during major abdominal surgery under general anaesthesia: A prospective observational study

Gunashekar S, Kaushal A, Kumar A, Gupta P, Gupta N, C S P. Indian J Anaesth. 2024 Apr;68(4):360-365. doi: 10.4103/ija.ija_706_23. 

Comparison of Dynamic Measures in Intraoperative Goal-Directed Fluid Therapy of Patients with Morbid Obesity Undergoing Laparoscopic Sleeve Gastrectom

Urhan G, Demirel İ, Deniz A, Aksu A, Altun AY, Bolat E, Beştaş A, Altuntaş G. Obes Surg. 2024 Mar 21. doi: 10.1007/s11695-024-07154-z.

Prognostic value of Pleth Variability Index in patients followed up in the Intensive Care Unit

Albayrak T, Yuksel B. Eur Rev Med Pharmacol Sci. 2024 Feb;28(4):1392-1397. doi: 10.26355/eurrev_202402_35460. 

Pleth variability index during preoxygenation could predict anesthesia-induced hypotension: A prospective, observational study

Kim YJ, Seo JH, Lee HC, Kim HS. J Clin Anesth. 2023 Aug 26;90:111236. doi: 10.1016/j.jclinane.2023.111236.

Comparison of two techniques of goal directed fluid therapy in elective neurosurgical patients - a randomized controlled study

Dey A, Bidkar PU, Swaminathan S, M MK, Joy JJ, Balasubramanian M, Bhimsaria S. Br J Neurosurg. 2023 Feb 3:1-9. doi: 10.1080/02688697.2023.2173722.

Dynamic variables to predict fluid responsiveness in young children

Liu YF, Song LL, Ma W, Wang DX. Pediatr Int. 2023 Jan 18:e15477. doi: 10.1111/ped.15477.

Non-invasive measurement of digital plethysmographic variability index to predict fluid responsiveness in mechanically ventilated children: a systematic review and meta-analysis of diagnostic test accuracy studies

Desgranges FP, Bouvet L, Pereira de Souza Neto E, Evain JN, Terrisse H, Joosten A, Desebbe O. Anaesth Crit Care Pain Med. 2023 Jan 11;42(3):101194. doi: 10.1016/j.accpm.2023.101194.

Goal-directed fluid therapy guided by Plethysmographic Variability Index (PVI) versus conventional liberal fluid administration in children during elective abdominal surgery: A randomized controlled trial

Mathew PJ, Sharma S, Bhardwaj N, Ashok V, Malik MA. Journal of Pediatric Surgery. 2022 Dec 16.

Clinical utility of ultrasonography, pulse oximetry and arterial line derived hemodynamic parameters for predicting post-induction hypotension in patients undergoing elective craniotomy for excision of brain tumors - A prospective observational study

Bhimsaria SK, Bidkar PU, Dey A, Swaminathan S, Joy JJ, Haricandrakumar T, Balasubramanian M, Siva PM. Heliyon. 2022 Oct 22:e11208.

Correlation between pleth variability index and ultrasonic inferior vena cava-collapsibility index in parturients with twin pregnancies undergoing cesarean section under spinal anesthesia

Zhang H, Yuan H, Yu H, Zhang Y, Feng S. Eur J Med Res. 2022 Aug 6;27(1):139. doi: 10.1186/s40001-022-00771-3. 

Pleth Variability Index-Based Goal-Directed Fluid Management in Patients Undergoing Elective Gynecologic Surgery

Yilmaz G, Akca A, Kiyak H, Can E, Aydin A, Salihoglu Z. Sisli Etfal Hastan Tip Bul. 2022 Jun 28;56(2):220-226. doi: 10.14744/SEMB.2021.81073. 

Use of the pleth variability index in children with obstructive respiratory disease

Demir G, Berksoy E, Bardak Ş, Elibol P, Çiçek A, Özön A, Nalbant T, Gökalp G. Am J Emerg Med. 2022 Mar 17;56:28-32. doi: 10.1016/j.ajem.2022.03.019

The role of perfusion index and plethysmography variability index for predicting dehydration severity in patients with acute gastroenteritis

Emektar E, Dagar S, Uzunosmanoğlu H, Çıkrıkçı Işık G, Çorbacıoğlu ŞK, Çevik Y. Hong Kong J Emerg Med. 2022;29(2):78-83. doi:10.1177/1024907919889488

Perioperative goal-directed fluid management using noninvasive hemodynamic monitoring in gynecologic oncology

Yildiz GO, Hergunsel GO, Sertcakacilar G, Akyol D, Karakaş S, Cukurova Z. Braz J Anesthesiol. 2022 Feb 1:S0104-0014(22)00005-7. doi: 10.1016/j.bjane.2021.12.012

Pleth Variability Index [PVI] based Intraoperative Fluid Management in Head and Neck Free Flap Reconstructive Surgeries

Chowdhury I, Ahuja P, Satapathy H, Goyal P, Pathak S. Acta Scientific Clinical Case Reports. 2021;2(4):33-41.

A Prospective Observational Study of Plethysmograph Variability Index and Perfusion Index in Predicting Hypotension with Propofol Induction in Noncardiac Surgeries

Thirunelli RK, Nanjundaswamy NH. Anesth Essays Res. 2021;15(2):167-173. doi:10.4103/aer.aer_81_21

Dynamic variables predict fluid responsiveness in pre-school and school children undergoing neurosurgery: a prospective observational study

Song LL, Geng ZY, Ma W, Liu YF, Wang DX. Transl Pediatr. 2021;10(11):2972-2984. doi:10.21037/tp-21-281

Role of Lung Ultrasonography in Detecting Extravascular Lung Water (EVLW) in Major Oncological Surgeries.

Kulkarni A, Dalal A. Presented at ANESTHESIOLOGY 2021, San Diego, California, October 9, 2021. Abstract #A1067.

Assessment of pleth variability index in volume changes during ultrafiltration process

Dagar S, Uzunosmanoglu H. Turkish Journal of Emergency Medicine. 2021;21:111-6.

Prediction of fluid responsiveness in mechanically ventilated patients in surgical intensive care unit by pleth variability index and inferior vena cava diameter.

Aboelnile D, Elseidy M, Kenawey Y, Elsherif I. Ain-Shams J Anesth. 2020. 12:48. https://doi.org/10.1186/s42077-020-00097-4.

Continuous hemoglobin and plethysmography variability index monitoring can modify blood transfusion practice and is associated with lower mortality

Cros, J., Dalmay, F., Yonnet, S. et al. J Clin Monit Comput (2019). https://doi.org/10.1007/s10877-019-00367-z

Accuracy of pleth variability index to predict fluid responsiveness in mechanically ventilated patients: a systematic review and meta-analysis.

Chu H, Wang Y, Sun Y, Wang G. J Clin Monit Comput. 2016 Jun;30(3):265-74. doi: 10.1007/s10877-015-9742-3. Epub 2015 Aug 5. Review. PubMed PMID: 26242233.

Non-invasive monitoring of oxygen delivery in acutely ill patients: new frontiers.

Perel A. Ann Intensive Care. 2015 Dec;5(1):24. doi:10.1186/s13613-015-0067-7. Epub 2015 Sep 17. PubMed PMID: 26380992

Predicting stroke volume and arterial pressure fluid responsiveness in liver cirrhosis patients using dynamic preload variables: A prospective study of diagnostic accuracy.

Wu CY, Cheng YJ, Liu YJ, Wu TT, Chien CT, Chan KC; NTUH Center of Microcirculation Medical Research (NCMMR). Eur J Anaesthesiol. 2016 Sep;33(9):645-52.

Comparison of esophageal Doppler and plethysmographic variability index to guide intraoperative fluid therapy for low-risk patients undergoing colorectal surgery.

Warnakulasuriya SR et al. J Clin Anesth. 2016 Nov;34:600-8.

Pleth Variability Index-Directed Fluid Management in Abdominal Surgery under Combined General and Epidural Anesthesia

Yu Y., Dong J., Xu Z., Shen H., Zheng J. J Clin Monit Comput. 2014 Feb 21.

Goal-Directed Fluid Management Based on the Pulse Oximeter-Derived Pleth Variability Index Reduces Lactate Levels and Improves Fluid Management

Forget P, Lois F, de Kock M. Anesth Analg. 2010 Oct;111(4):910-4.

Pleth Variability Index to Monitor the Respiratory Variations in the Pulse Oximeter Plethysmographic Waveform Amplitude and Predict Fluid Responsiveness in the Operating Theatre

Cannesson M., Desebbe O., Rosamel P., Delannoy B., Robin J., Bastien O., Lehot J.J. Br J Anaesth. 2008 Aug;101(2):200-6.

Implementing an Health System Wide Enhanced Recovery Program for Patients Undergoing Colorectal Surgery - The Anesthesiologists

Colquhoun D., Turrentine F., Rea K., Friel C. American Society of Anesthesiologists 2014; A2010.

Pleth Variability Index Predicts Fluid Responsiveness in Critically Ill Patients

Loupec T., Nanadoumgar H., Frasca D., Petitpas F., Laksiri L., Baudouin D., Debaene B., Dahyot-Fizelier C., Mimoz O. Crit Care Med. 2011 Feb;39(2):294-9.

Accuracy of Stroke Volume Variation Compared with Pleth Variability Index to Predict Fluid Responsiveness in Mechanically Ventilated Patients Undergoing Major Surgery

Zimmermann M., Feibicke T., Keyl C., Prasser C., Moritz S., Graf B.M., Wiesenack C. Eur J Anaesthesiol. 2010 Jun;27(6):555-61.

Stroke Volume Variation and Pleth Variability Index to Predict Fluid Responsiveness during Resection of Primary Retroperitoneal Tumors in Hans Chinese

Fu Q., Mi W.D., Zhang H. Biosci Trends. 2012 Feb;6(1):38-43.

Prediction of Volume Responsiveness using Pleth Variability Index in Patients Undergoing Cardiac Surgery after Cardiopulmonary Bypass.

Haas S., Trepte C., Hinteregger M., Fahje R., Sill B., Herich L., Reuter D.A. J Anesth. 2012 Oct;26(5):696-701.

Prediction of fluid Responsiveness in Mechanically Ventilated Children Undergoing Neurosurgery

Byon H.J., Lim C.W., Lee J.H., Park Y. H., Kim H.S., Kim C.S., Kim J.T. Br. J. Anaesth 2013 Apr;110(4):586-91.

Plethysmographic Variation Index Predicts Fluid Responsiveness in Ventilated Patients in the Early Phase of Septic Shock in the Emergency Department: A Pilot Study

Feissel M., Kalakhy R., Banwarth P., Badie J., Pavon A., Faller J.P., Quenot JP. J Crit Care. 2013 May 14.

Clinical Evidence Key:

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Duplicate abstracts or publications are excluded

This section is intended to provide access to clinical studies conducted using Masimo noninvasive technologies, parameters, and products. We cannot guarantee that all published clinical studies, abstracts and research are listed here. To view individual clinical studies please click on the appropriate tab.

Some uses of the manufacturer’s devices described in the information may not have been approved or cleared by the FDA. See manufacturer labeling for the indications in the product’s cleared indications for use statement.

Clinical evidence is provided to illustrate the performance and accuracy of Masimo technologies. Federal law restricts Masimo devices for medical uses to sale by or on the order of a physician.

PLCO-004090/PLMM-10103H-0920 (D-0422)