Abstract
Hypovolemia is frequent in critically ill patients. There is little doubt that when left unrecognized and thus untreated hypovolemia will worsen patient outcome [1]. Therefore, it is more than likely that adequate fluid resuscitation could improve the outcome of a huge number of critically ill patients worldwide. The administration of fluid is a simple and inexpensive procedure, so one of the barriers for optimal fluid therapy is likely to lie in the diagnosis of hypovolemia.
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References
Pinsky MR, Brophy P, Padilla I, Paganini E, Pannu N (2008) Fluid and volume monitoring. Int J Artif Organs 31: 111–126
Wiedemann HP, Wheeler AP, Bernard GR, et al (2006) Comparison of two fluid-management strategies in acute lung injury. N Engl J Med 354: 2564–2575
Marik PE, Cavallazzi R, Vasu T, Hirani A (2009) Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 37: 2642–2647
Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 121: 2000–2008
Michard F (2005) Changes in arterial pressure during mechanical ventilation. Anesthesiology 103: 419–428
Tavernier B, Makhotine O, Lebuffe G, Dupont J, Scherpereel P (1998) Systolic pressure variation as a guide to fluid therapy in patients with sepsis-induced hypotension. Anesthesiology 89: 1313–1321
Michard F, Boussat S, Chemla D, et al (2000) Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 162: 134–138
Reuter DA, Felbinger TW, Schmidt C, et al (2002) Stroke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery. Intensive Care Med 28: 392–398
De Backer D, Heenen S, Piagnerelli M, Koch M, Vincent JL (2005) Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Med 31: 517–523
Preisman S, Kogan S, Berkenstadt H, Perel A (2005) Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation Test and static preload indicators. Br J Anaesth 95: 746–755
Perner A, Faber T (2006) Stroke volume variation does not predict fluid responsiveness in patients with septic shock on pressure support ventilation. Acta Anaesthesiol Scand 50: 1068–1073
Mahjoub Y, Pila C, Priggeri A, et al (2009) Assessing fluid responsiveness in critically ill patients: False-positive pulse pressure variation is detected by Doppler echocardiographic evaluation of the right ventricle. Crit Care Med 37: 2570–2575
De Backer D, Taccone FS, Holsten R, Ibrahimi F, Vincent JL (2009) Influence of respiratory rate on stroke volume variation in mechanically ventilated patients. Anesthesiology 110: 1092–1097
Boulain T, Achard JM, Teboul JL, Richard C, Perrotin D, Ginies G (2002) Changes in BP induced by passive leg raising predict response to fluid loading in critically ill patients. Chest 121: 1245–52
Monnet X, Rienzo M, Osman D, et al (2006) Passive leg raising predicts fluid responsiveness in the critically ill. Crit Care Med 34: 1402–1407
Lafanechere A, Pene F, Goulenok C, et al (2006) Changes in aortic blood flow induced by passive leg raising predict fluid responsiveness in critically ill patients. Crit Care 10: R132
Thiel SW, Kollef MH, Isakow W (2009) Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients: an observational cohort study. Crit Care 13: R111
Lamia B, Ochagavia A, Monnet X, Chemla D, Richard C, Teboul JL (2007) Echocardiographic prediction of volume responsiveness in critically ill patients with spontaneously breathing activity. Intensive Care Med 33: 1125–1132
Maizel J, Airapetian N, Lorne E, Tribouilloy C, Massy Z, Slama M (2007) Diagnosis of central hypovolemia by using passive leg raising. Intensive Care Med 33: 1133–1138
De Backer D, Pinsky MR (2007) Can one predict fluid responsiveness in spontaneously breathing patients? Intensive Care Med 33: 1111–1113
De Backer D (2006) Can passive leg raising be used to guide fluid administration? Crit Care 10: 170
Jabot J, Teboul JL, Richard C, Monnet X (2009) Passive leg raising for predicting fluid responsiveness: importance of the postural change. Intensive Care Med 35: 85–90
Antonelli M, Levy M, Andrews PJ, et al (2007) Hemodynamic monitoring in shock and implications for management. International Consensus Conference, Paris, France, 27–28 April 2006. Intensive Care Med 33: 575–590
Bossuyt PM, Reitsma JB, Bruns DE, et al (2003) Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ 326: 41–44
Harvey S, Harrison DA, Singer M, et al (2005) Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial. Lancet 366: 472–477
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Perner, A., Pedersen, U.G. (2010). Diagnosing Hypovolemia in Critically III Patients. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5562-3_4
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DOI: https://doi.org/10.1007/978-1-4419-5562-3_4
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