Passive leg raising predicts fluid responsiveness after cardiac surgery

Galas, Filomena Regina Barbosa Gomes; Hajjar, Ludhmila Abrahão; Polastri, Thatiane Facholi; Faustino, Tássia Nery; Leao, W; Sampaio, Leticia P. B; Auler, J

doi:10.1186/cc6310

Cited by 1 publication

(1 citation statement)

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“…Most acute lung injury states are managed with lung protective strategy with TV of 4 to 6 mL/kg, PPV values obtained using lower TVs are less reliable and their use is not recommended. [20][21][22] The Pleth Variation Index (PVI) is similar to PPV but is an automated measure of the dynamic change in the perfusion index that occurs during a respiratory cycle. Perfusion index is the ratio of nonpulsatile to pulsatile blood flow through the peripheral bed, measured noninvasively with a pulse ox-imeter probe.…”

Section: Evaluation Of Pulse Pressure and Stroke Volume Variationmentioning

confidence: 99%

Review: Pitfalls in Using Central Venous Pressure as a Marker of Fluid Responsiveness

Farcy¹,

Jain²,

Dalley³

et al. 2016

Emerg Med

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A 69-year-old man was transported to the ED via emergency medical services after a family member discovered him alone at home and confused. His wife stated that her husband had been sick with the flu and had been febrile for the previous several days. The patient's blood pressure taken on the scene by the emergency medical technician was 80/40 mm Hg, and 1 L normal saline was infused during transport. Upon arrival to the ED, his vital signs were: temperature, 103.3°F; heart rate,130 beats/minute; BP, 90/48 mm Hg; and respiratory rate, 24 breaths/minute. Oxygen saturation was 92% on nasal canula. An electrocardiogram showed sinus tachycardia with nonspecific changes. Based on the patient's symptoms, the emergency physician (EP) suspected sep-sis and ordered the appropriate laboratory studies and radiographic images. During evaluation, the patient's systolic BP decreased to 70 from 80 mm Hg, and the EP ordered another fluid bolus and considered assessing the patient's volume status.

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Section: Evaluation Of Pulse Pressure and Stroke Volume Variationmentioning

confidence: 99%