Volume Status and Fluid Responsiveness

Assessing volume status and fluid responsiveness in the emergency department

Resuscitation with intravenous fluid can restore intravascular volume and improve stroke volume. However, in unstable patients, approximately 50% of fluid boluses fail to improve cardiac output as intended. Increasing evidence suggests that excess fluid may worsen patient outcomes. Clinical examination and vital signs are unreliable predictors of the response to a fluid challenge. We review the...

Assessing Volume Status and Fluid Responsiveness in Resuscitation

Marik PE, Baram M, Vahid B: Does the central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 2008, 134:172-178. Central venous pressure measurements are utilized in many intensive care units (ICUs), emergency departments, and operating rooms throughout the world. It is used to assess the fluid status of patients and to aid i...

Defining fluid responsiveness: a guide to patient-tailored volume titration.

Plasma volume, albumin, and fluid status in peritoneal dialysis patients.

BACKGROUND AND OBJECTIVES Peritoneal dialysis (PD) patients may be overhydrated especially when inflammation is present. We hypothesized that patients with a plasma albumin below the median value would have measurable overhydration without a proportional increase in plasma volume (PV). DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS We investigated a cross-sectional sample of 46 prevalent PD pa...

Does stroke volume variation predict fluid responsiveness in children: A systematic review and meta-analysis

OBJECTIVE Stroke volume variation (SVV) is a reliable predictor of fluid responsiveness in adult patients. However, the predictive value of SVV is uncertain in pediatric patients. We performed the first systematic meta-analysis to evaluate the diagnostic value of SVV in predicting fluid responsiveness in children. METHODS PUBMED, EMBASE, and Cochrane Central Register of Controlled Trials were...