Esophageal Doppler monitoring predicts fluid responsiveness in critically ill ventilated patients

Monnet, Xavier; Rienzo, Mario; Osman, David; Anguel, Nadia; Richard, Christian; Pinsky, Michael R.; Teboul, Jean‐Louis

doi:10.1007/s00134-005-2731-0

Cited by 217 publications

(145 citation statements)

References 16 publications

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“…Actually, no monitoring has proved its usefulness for both interpretation and treatment of arterial hypotension following pheochromocytoma resection. Globally, many diagnostic tools have been reported to be highly predictive of fluid responsiveness in intensive care patients and during anesthesia (53)(54)(55). Invasive arterial pressure monitoring is routinely used during pheochromocytoma removal, allowing measurement of D-down derived from the analysis of arterial pulse pressure waveform, as mentioned earlier (38).…”

Section: Anesthetic Techniquementioning

confidence: 99%

“…Further investigations are necessary to assess if D-down monitoring could efficiently guide fluid resuscitation and reduce the risk of arterial hypotension following tumor removal (38). To our knowledge, other diagnostic tools such as i) stroke volume variation derived from pulse contour analysis and ii) variation of the amplitude of the pulse oximeter plethysmographic waveform together with iii) aortic flow velocity and stroke volume assessed by Doppler echocardiography or transesophageal echocardiography have not been evaluated in patients undergoing pheochromocytoma resection (53)(54)(55).…”

Section: Anesthetic Techniquementioning

confidence: 99%

See 1 more Smart Citation

Point of controversy: perioperative care of patients undergoing pheochromocytoma removal–time for a reappraisal?

Lentschener¹,

Gaujoux²,

Tesnière³

et al. 2011

European Journal of Endocrinology

121

141

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Adrenalectomy for pheochromocytoma is reported with a mortality close to zero in recent studies. The dogma of preoperative fluid and hypotensive drug administrations is widely applied in patients scheduled for pheochromocytoma removal and is assumed to have a beneficial effect on operative outcomes. This paradigm is only based on historical studies of non-standardized practices and criteria for efficacy, with no control group. Pre-and intraoperative hypovolemia have never been demonstrated in patients scheduled for pheochromocytoma removal. Recent improvements in outcome of patients undergoing adrenalectomy for pheochromocytoma could also be the result of improvement in surgical techniques and refinement in anesthetic practices. Whether better knowledge of the disease, efficiency of available intravenous short-acting vasoactive drugs, and careful intraoperative handling of the tumor make it possible to omit preoperative preparation in most patients scheduled for pheochromocytoma removal is presently questionable. We reviewed available literature in this respect.

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Section: Anesthetic Techniquementioning

confidence: 99%

Section: Anesthetic Techniquementioning

confidence: 99%

Point of controversy: perioperative care of patients undergoing pheochromocytoma removal–time for a reappraisal?

Lentschener¹,

Gaujoux²,

Tesnière³

et al. 2011

European Journal of Endocrinology

121

141

View full text Add to dashboard Cite

show abstract

“…The width of the Doppler waveform base corresponds to the systolic ejection time; when corrected for the patient's heart rate (in a manner similar to correcting the electrocardiographic QT interval for differences in heart rate), it has been labeled as the corrected flow time (FTc) Other studies have evaluated incorporating FTc into management algorithms for fluid therapy (21,36,40,74,75,96,106). Virtually all of these studies have been performed in surgical or postoperative settings.…”

Section: Data Derived From Esophageal Doppler Measurementsmentioning

confidence: 99%

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Isakow¹,

Schuster²

2006

American Journal of Physiology-Lung Cellular and Molecular Phys

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“…The threshold to divide SVV values into normal and high states was set at 10% [6,[15][16][17]. The value of SVV was always ≤ 10% in the 10 measurements each made in 20 patients, while the corresponding value was always >10% in 12 patients.…”

Section: Resultsmentioning

confidence: 99%

Simultaneous peripheral and central venous pressure monitoring for evaluating cardiac preload in critically ill patients

Yanagisawa¹,

Takazawa²,

Kanamoto³

et al. 2017

Biomed Res Clin Prac

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Purpose: Arterial waveform-derived dynamic variables, such as stroke volume variation (SVV), are useful for predicting fluid responsiveness in perioperative patients. Since specific catheters and machines must be used for measuring SVV, we tried to find a novel indicator that correlates with SVV values and can be calculated using usual monitoring equipment. Methods:A total of 50 patients admitted to the ICU, both intubated (n=25) and non-intubated (n=25), were enrolled in this prospective observational study. Intubated patients received mechanical ventilation under pressure controlled ventilation (PCV) or continuous positive airway pressure /pressure support ventilation (CPAP/PSV) modes. SVV values were used for assessment of cardiac preload. Besides SVV, central venous pressure (CVP) and peripheral venous pressure (PVP) were simultaneously recorded. In each patient, 10 data pairs were randomly acquired at 1 hour or longer intervals.Results: Regression analysis showed a slightly weaker but substantial association between PVP and CVP (Pearson's correlation coefficient r=0.91, p<0.0001). However, we found that PVP-CVP difference values correlated with SVV (r=0.64, p<0.0001). Moreover, we were able to predict whether SVV was normal (≤ 10%) or high (>10%) from PVP-CVP difference values with high accuracy. This prediction was not affected by the respiratory mode. Conclusion:The difference between PVP and CVP might serve as a novel indicator of the adequacy of cardiac preload that does not require specific equipment, such as the FloTrac/Vigileo Monitor®.

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Esophageal Doppler monitoring predicts fluid responsiveness in critically ill ventilated patients

Abstract: The respiratory variation in aortic blood flow reliably predicts fluid responsiveness in patients with sinus rhythm and without breathing activity.

Cited by 217 publications

References 16 publications

Point of controversy: perioperative care of patients undergoing pheochromocytoma removal–time for a reappraisal?

Point of controversy: perioperative care of patients undergoing pheochromocytoma removal–time for a reappraisal?

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Simultaneous peripheral and central venous pressure monitoring for evaluating cardiac preload in critically ill patients

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