Comparison between intrathoracic blood volume and cardiac filling pressures in the early phase of hemodynamic instability of patients with sepsis or septic shock

Blood N-Terminal proBNP as a Potential Indicator of Cardiac Preload in Patients with High Volume Load

“…The GEDVI, corresponding to ventricular end-diastolic volume, has been shown to be well correlated to CI (Gödje et al 1998;Sakka et al 1999). In this assessment (Fig.…”

“…has frequently been used for keeping track of hemodynamic status in serious patients (Oren-Grinberg 2010). Global end-diastolic volume index (GEDVI) is known to be a reliable indicator of cardiac preload (Gödje et al1998;Sakka et al 1999). The present study was undertaken to examine a correlation between blood NT-proBNP levels and GEDVI and to investigate whether NT-proBNP could be used as a potential indicator of cardiac preload.…”

Brain death and its implications for management of the potential organ donor

“…114 In addition to CO and SVR, transpulmonary thermodilution gives continuous CO by pulse contour analysis and estimates of intrathoracic blood volume (ITBV) and extravascular lung water (EVLW). 114 ITBV is a much better estimate of cardiac pre-load than pulmonary artery occlusion pressure, 115 and EVLW is an indicator of pulmonary edema and capillary leakage. It may be elevated before changes occur in gas exchange or chest roentgenogram, and measurements and manipulation of EVLW may become important in the assessment and management of potential lung donors.…”

Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO

“…Se ha demostrado que la medición IC: índice cardíaco, POAP: presión de oclusión en la arteria pulmonar, RVSI: resistencia vascular sistémica indexada, ITBVI: volumen sanguíneo intratorácico indexado, EVLWI: agua pulmonar extravascular indexada, PAM: presión arterial media, NA: noradrenalina, DOPA: dopamina, DOBU: dobutamina, VN: valores normales del ITBV es mejor indicador de la precarga cardíaca que la POAP y la presión venosa central (PVC). Además, esta variable se ve menos influenciada por las presiones intratorácicas y las variaciones de la distensibilidad ventricular izquierda, especialmente en los pacientes hemodinámicamente inestables 15,16 . En el presente caso, el paciente fue evaluado mediante los dos sistemas de monitoreo en un intento por definir con mayor precisión el perfil hemodinámico y orientar las medidas de reanimación.…”