Assessing fluid responsiveness by stroke volume variation in mechanically ventilated patients with severe sepsis

Marx, Gernot; Cope, T.; McCrossan, L.; Swaraj, S; Cowan, Chris; Mostafa, S.M.; Wenstone, Richard; Leuwer, Martin

doi:10.1097/00003643-200402000-00009

Cited by 104 publications

(50 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The American College of Critical Care Medicine guidelines for hemodynamic support of patients with sepsis also use CVP and PaOP to define resuscitation goals (6), yet the predefined increase in CI in the study by Osman et al (8) was seen after fluid bolus in only 46% of patients whose CVP was Ͻ12 mmHg and 54% of patients whose PaOP was Ͻ12 mmHg. These findings are congruous with the results of many other studies and strongly question the accuracy and utility of CVP and PaOP as predictors of preload and targets of volume therapy (3,5,13,18,19).…”

mentioning

confidence: 69%

“…The decrease in arterial pressure during expiration was the best predictor of improved cardiac function with volume (receiver operating characteristic 0.97) compared with PaOP (receiver operating characteristic 0.67). Marx et al (19) compared stroke volume variation (SVV) with PaOP and CVP as a predictor of volume responsiveness in patients with sepsis. SVV predicted the cardiovascular response to fluid, whereas the filling pressures were no better than chance in anticipating hemodynamic change (10).…”

mentioning

confidence: 99%

“…Arrhythmias, particularly atrial fibrillation, will also affect the precision of SVV analyses. Finally, alterations in myocardial contractility as a result of titration of inotropic or vasopressive agents can affect the accuracy of these dynamic markers (4,18,19).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Advances in Critical Care for the Nephrologist

Davison

Junker

2008

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

The monitoring of physiologic variables is an integral part of the diagnosis and management of the critically ill patient. Restoration of tissue perfusion and oxygen delivery is the ultimate goal for any state of circulatory collapse. Insight into a patient's intravascular volume status and cardiac performance, particularly in the early stages of shock, can help guide management and potentially change outcome. In the past 30 years, various bedside monitoring techniques and indices have been developed in an effort to determine and optimize a patient's cardiac performance. This article reviews the physiologic parameters that best predict intravascular volume status and volume responsiveness. We examine the controversies surrounding the pulmonary arterial catheter and describe the less invasive methods of measuring cardiac performance.

show abstract

mentioning

confidence: 69%

mentioning

confidence: 99%

See 1 more Smart Citation

Advances in Critical Care for the Nephrologist

Davison

Junker

2008

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

show abstract

“…The amount of change in LV stroke volume, called stroke volume variation, can shed light on the fluid status. Mechanical ventilation-induced haemodynamic changes in LV stroke volume can be very helpful in predicting the effect of volume expansion, termed fluid responsiveness [42][43][44][45][46]. The subject of fluid management is beyond the scope of this review.…”

Section: The Left Ventriclementioning

confidence: 99%

Cardiopulmonary interactions during mechanical ventilation in critically ill patients

et al. 2013

View full text Add to dashboard Cite

Cardiopulmonary interactions induced by mechanical ventilation are complex and only partly understood. Applied tidal volumes and/or airway pressures largely mediate changes in right ventricular preload and afterload. Effects on left ventricular function are mostly secondary to changes in right ventricular loading conditions. It is imperative to dissect the several causes of haemodynamic compromise during mechanical ventilation as undiagnosed ventricular dysfunction may contribute to morbidity and mortality.

show abstract

“…Even though data from the pulmonary artery catheter enables computation of a stroke volume estimate (CO/HR), more direct measurements of stroke volume are made possible by such innovations as the esophageal Doppler, non-invasive Doppler and pulse contour techniques. A growing body of literature supports the efficacy of SVO and SVV in sepsis (214,215). While the theoretical principle is clear, outcome studies using stroke volume and SVV for patients with sepsis are ongoing.…”

Section: B Improving Macrocirculationmentioning

confidence: 99%

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

Aitken

Williams

Harvey

et al. 2011

Critical Care Medicine

View full text Add to dashboard Cite

This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Financial supportThis project was conducted under the auspices of the World Federation of Critical CareNurses (WFCCN), and no sponsorship or funding was received for this project. NURSING CONSIDERATIONS TO COMPLEMENT THE SURVIVING SEPSIS CAMPAIGN GUIDELINES ABSTRACTObjective: To provide a series of recommendations, based on the best available evidence, to guide clinicians providing nursing care to patients with severe sepsis.Design: Modified Delphi method involving international experts and key individuals in subgroup work and electronic-based discussion among entire group to achieve consensus.Methods: We used the Surviving Sepsis Campaign Guidelines (SSC) as a framework to inform the structure and content of these guidelines. We used the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system to rate the quality of evidence from high (A) to very low (D) and to determine the strength of recommendations, with grade1indicating clear benefit in the septic population and grade 2 indicating less confidence in the benefits in the septic population. In areas without complete agreement between all authors a process of electronic discussion of all evidence was undertaken until consensus was reached.This process was conducted independently of any funding.Results: Sixty-three recommendations relating to the nursing care of severe sepsis patients are

show abstract

Assessing fluid responsiveness by stroke volume variation in mechanically ventilated patients with severe sepsis

Cited by 104 publications

References 25 publications

Advances in Critical Care for the Nephrologist

Advances in Critical Care for the Nephrologist

Cardiopulmonary interactions during mechanical ventilation in critically ill patients

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

Contact Info

Product

Resources

About