Assessment of Volume Responsiveness During Mechanical Ventilation: Recent Advances

Monnet, Xavier; Teboul, Jean–Louis

doi:10.1007/978-3-642-35109-9_32

Cited by 23 publications

(30 citation statements)

References 61 publications

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“…Although several studies have demonstrated that pressure pulse variation and stroke volume variation are highly predictive of fluid responsiveness, they are of limited use in children as they can only be applied to patients under controlled positive pressure ventilation failing to predict fluid responsiveness in the presence of spontaneous breathing activity (21), low tidal volume (22), low respiratory system compliance (23), high oscillatory frequency ventilation or respiratory rates greater than 40 breaths/min (24), arrhythmias (25), and during increased intra-abdominal pressure (26).…”

Section: Discussionmentioning

confidence: 98%

Cardiac Preload Responsiveness in Children With Cardiovascular Dysfunction or Dilated Cardiomyopathy

Oliva

Menéndez-Suso²,

Iglesias-Bouzas³

et al. 2015

Pediatric Critical Care Medicine

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This study provides "normal" values for global end-diastolic volume index and limits of cardiac preload responsiveness in pediatric patients with cardiovascular dysfunction and dilated cardiomyopathy: 1.33 times normal global end-diastolic volume index represents the upper limit of patent cardiac preload responsiveness, with the highest expected responsiveness being below 0.67 times normal global end-diastolic volume index. The maximum response of the Frank-Starling relationship and therefore the level of no additional preload reserve is 1.33 to 1.51 times normal global end-diastolic volume index. Above 1.51 times normal global end-diastolic volume index preload responsiveness is unlikely, and the risk of pulmonary edema is maximal.

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Section: Discussionmentioning

confidence: 98%

Cardiac Preload Responsiveness in Children With Cardiovascular Dysfunction or Dilated Cardiomyopathy

Oliva

Menéndez-Suso²,

Iglesias-Bouzas³

et al. 2015

Pediatric Critical Care Medicine

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“…Yazigi A et al concluded that PPV, but not baseline CVP, can be used to guide fluid therapy especially in old patients with limited physiologic reserves (6). Nevertheless, dynamic preload monitoring like PPV has some limitations such as arrhythmia and patient condition without mechanical ventilation support (9).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Pulse Pressure Variation Compared to Thoracic Fluid Content in Mechanically Ventilated Patients after Cardiac Surgery

Ghadrdoost

Bakhshandeh

Ziyaeifard

et al. 2017

Multidiscip Cardio Annal

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Background: In clinical area, assessment of body fluid and determination of the intravascular volume after major surgeries such as heart surgery is a significant challenge. The initial purpose of intravascular volume assessment in patients with hemodynamic instability is to determine whether they would benefit from fluid administration or not. Objectives: This study aims to compare pulse pressure variation (PPV) compared to thoracic fluid content in checking out and optimizing fluid volume in mechanically ventilated patients admitted to intensive care unit after cardiac surgery. Methods: In the present study a prospective descriptive-analytic design was used. Thirty mechanically ventilated patients admitted to intensive care units of Rajaie heart center, Tehran, Iran, were recruited in the current study after cardiac surgery based on inclusion criteria. Data collection tools included demographic and clinical data sheets. Hemodynamic parameters such as CVP and pulse pressure were recorded by bedside monitoring. Thoracic fluid content (TFC) was measured by non-invasive continuous cardiac output monitoring (NICCOMO) system. Data were analyzed in SPSS version 15, using statistical tests.

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“…The use of the respiratory variation of stroke volume or surrogates to predict fluid responsiveness has some limitations that are now clearly identified [25].…”

Section: Limitations Of the Respiratory Variation Of Stroke Volume Tomentioning

confidence: 99%

Monitoring volume and fluid responsiveness: From static to dynamic indicators

Guérin

Monnet

Teboul

2013

Best Practice & Research Clinical Anaesthesiology

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Assessment of Volume Responsiveness During Mechanical Ventilation: Recent Advances

Cited by 23 publications

References 61 publications

Cardiac Preload Responsiveness in Children With Cardiovascular Dysfunction or Dilated Cardiomyopathy

Cardiac Preload Responsiveness in Children With Cardiovascular Dysfunction or Dilated Cardiomyopathy

Diagnostic Accuracy of Pulse Pressure Variation Compared to Thoracic Fluid Content in Mechanically Ventilated Patients after Cardiac Surgery

Monitoring volume and fluid responsiveness: From static to dynamic indicators

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