Systems and methods are provided for monitoring changes in
blood volume using waveforms in the
peripheral vasculature. In particular, the systems and methods relate to detecting ventilation-induced variation (VIV) of waveforms in the
peripheral vasculature. Advantageously, the systems and methods may relate to analyzing VIV in
peripheral venous pressure (PVP). Thus, the VIV of PVP may be measured, wherein decreased VIV is indicative of decreased
blood volume In exemplary embodiments, such as involving spontaneous
breathing, it may be necessary to account for changes in
respiratory signal strength. Thus systems and methods are also provided for assessing coherence between ventilation and VIV for a flow or
pressure waveform. Specifically, coherence is evaluated by comparing the waveform to a detected
respiratory signal. Finally, systems and method are provided for distinguishing the
impact of
respiration on the PG
signal during hypervolemia as compared to
hypovolemia. Such systems and methods may advantageously be utilized to monitor fluid status during
fluid replacement.