Can one predict fluid responsiveness in spontaneously breathing patients?
نویسندگان
چکیده
منابع مشابه
Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients?
INTRODUCTION We have almost no information concerning the value of inferior vena cava (IVC) respiratory variations in spontaneously breathing ICU patients (SBP) to predict fluid responsiveness. METHODS SBP with clinical fluid need were included prospectively in the study. Echocardiography and Doppler ultrasound were used to record the aortic velocity-time integral (VTI), stroke volume (SV), c...
متن کاملHemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients
OBJECTIVE We hypothesized that the hemodynamic response to a deep inspiration maneuver (DIM) indicates fluid responsiveness in spontaneously breathing (SB) patients. DESIGN Prospective study. SETTING ICU of a general hospital. PATIENTS Consecutive nonintubated patients without mechanical ventilation, considered for volume expansion (VE). INTERVENTION We assessed hemodynamic status at ba...
متن کاملAssessment of fluid responsiveness in spontaneously breathing patients: a systematic review of literature
Patients who increase stoke volume or cardiac index more than 10 or 15% after a fluid challenge are usually considered fluid responders. Assessment of fluid responsiveness prior to volume expansion is critical to avoid fluid overload, which has been associated with poor outcomes. Maneuvers to assess fluid responsiveness are well established in mechanically ventilated patients; however, few stud...
متن کاملInferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically-ill patients.
PURPOSE Measurement of inferior vena cava collapsibility (cIVC) by point-of-care ultrasound (POCUS) has been proposed as a viable, non-invasive means of assessing fluid responsiveness. We aimed to determine the ability of cIVC to identify patients who will respond to additional intravenous fluid (IVF) administration among spontaneously breathing critically-ill patients. METHODS Prospective ob...
متن کاملAssessment of fluid responsiveness in patients under spontaneous breathing activity.
To assess fluid responsiveness in patients under spontaneous breathing activity ventilation remains a challenge for intensive care physicians. Much of the knowledge on heart-lung interactions and dynamic indexes of fluid responsiveness may not be useful for these patients. Historically, the most frequently used variables to guide fluid responsiveness on this population have been the static prel...
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ژورنال
عنوان ژورنال: Intensive Care Medicine
سال: 2007
ISSN: 0342-4642,1432-1238
DOI: 10.1007/s00134-007-0645-8