Prediction of fluid responsiveness in acute respiratory distress syndrome patients ventilated with low tidal volume and high positive end-expiratory pressure*

Huang, Chung-Chi; Fu, Jui-Ying; Hu, Han‐Chung; Kao, Kuo‐Chin; Chen, Ning‐Hung; Hsieh, Meng‐Jer; Tsai, Ying‐Huang

doi:10.1097/ccm.0b013e318186b74e

Cited by 125 publications

(97 citation statements)

References 37 publications

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“…Dynamic indices had better AUROC and correlation than static measures across studies. Furthermore, in addition to [12] Prospective observational study 2b 13 Feissel et al 2005 [13] Prospective observational study 2b 15 Natalini st al 2006 [14] Prospective observational study 2b 16 Solus-Biguenet et al 2006 [15] Prospective observational study 2b 15 Cannesson et al 2006 [16] Prospective observational study 2b 15 Lamia et al 2007 [17] Prospective observational study 2b 14 Soubrier et al 2007 [18] Prospective observational study 2b 15 Belloni et al 2008 [19] Prospective observational study 2b 16 Cannesson et al 2008 [20] Prospective observational study 2b 15 Auler et al 2008 [21] Prospective observational study 2b 14 Huang et al 2008 [22] Prospective observational study 2b 13 Biais et al 2008 [23] Prospective observational study 2b 13 Keller et al 2008 [24] Prospective observational study 2b 12 Mutoh et al 2009 [25] Randomised non-blinded study 2b 13 Ranucci et al 2009 [26] Prospective observational study 2b 15 Gouvea et al 2009 [27] Prospective observational study 2b 15 Cannesson et al 2009 [28] Prospective observational study 2b 15 Biais et al 2009 [29] Prospective observational study 2b 15 Skulec et al 2009 [30] Randomised blinded study 2b 16 Preau et al 2010 [31] Prospective observational study 2b 15 Delerme et al 2010 [32] Prospective observational study 2b 15 Desgranges et al 2011 [33] Prospective observational study 2b 14 Guinot et al 2011 [34] Prospective observational study 2b 15 Muller et al 2011 [35] Prospective observational study 2b 14 Muller et al 2012 [36] Prospective observational study 2b 15 de Oliveira-Costa et al 2012 [37] Cross-sectional observational study 2b 14 Feissel et al 2013 [38] Prospective observational study 2b 14 Brun et al 2013 [39] Prospective observational study 2b 15 Chin et al 2013 [40] Prospective observational study 2b 15 Wu et al 2014 …”

Section: Discussionmentioning

confidence: 99%

“…Fluid responsiveness was defined as a change in cardiac output, cardiac index, stroke volume or stroke volume index of ≥ 10-20%, as measured with the bolus thermodilution technique. Pulmonary artery catheter-derived indices were compared with indices measured by LiDCO TM plus (LiDCO Ltd, London, UK) [19], automated pulse pressure variation (Intellivue MP70; Philips Medical Systems, Suresnes, France) [20]; PiCCOPlus [22,25]; transoesophageal echocardiography [26]; Phillips Intellivue (Intellivue MP70, Philips Medical Systems) [24,28,37] infrared photoplethysmography using the Finapres TM (Ohmeda Monitoring Systems, Englewood, CO, USA) [15]; and the Flotrac/ Vigileo TM (Edwards Lifesciences, Irvine, CA, USA) [28,29] (Table 3).…”

Section: Pulmonary Artery Cathetermentioning

confidence: 99%

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Physiological controversies and methods used to determine fluid responsiveness: a qualitative systematic review

et al. 2015

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SummaryAccurate assessment of intravascular fluid status and measurement of fluid responsiveness have become increasingly important in peri-operative medicine and critical care. The objectives of this systematic review and narrative synthesis were to discuss current controversies surrounding fluid responsiveness and describe the merits and limitations of the major cardiac output monitors in clinical use today in terms of usefulness in measuring fluid responsiveness. We searched the MEDLINE and EMBASE databases (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015); inclusion criteria included comparison with an established reference standard such as pulmonary artery catheter, transthoracic echocardiography and transoesophageal echocardiography. Examples of clinical measures include static (such as central venous pressure) and dynamic (such as stroke volume variation and pulse pressure variation) parameters. The static parameters measured were described as having little value; however, the dynamic parameters were shown to be good physiological determinants of fluid responsiveness. Due to heterogeneity of the methods and patient characteristics, we did not perform a meta-analysis. In most studies, precision and limits of agreement (bias AE1.96SD) between determinants of fluid responsiveness measured by different devices were not evaluated, and the definition of fluid responsiveness varied across studies. Future research should focus on the physiological principles that underlie the measurement of fluid responsiveness and the effect of different volume expansion strategies on outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Pulmonary Artery Cathetermentioning

confidence: 99%

Physiological controversies and methods used to determine fluid responsiveness: a qualitative systematic review

et al. 2015

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“…Relying on pulmonary capillary wedge pressure to reflect ventricular volume, Perel et al [ 12 ] and Szold et al [15] showed that pulmonary capillary wedge pressure was related to SPV with both volume loading and phlebotomy in mechanically ventilated dogs. However, filling pressure cannot be used to reflect preload during mechanical ventilation (as is clear in Figure 4) or predict volume responsiveness [31][32][33][34]. Indeed, Denault et al [35] found that changes in systolic arterial pressure reflected changes in airway and intrathoracic pressure better than changes in echocardiographic enddiastolic area measurements in cardiac surgery patients.…”

Section: Discussionmentioning

confidence: 99%

Left Ventricular Preload Determines Systolic Pressure Variation during Mechanical Ventilation in Acute Lung Injury

Mitchell¹,

Doig²,

Whitelaw³

2011

J Clinic Experiment Cardiol

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Although volume is commonly administered to patients with hemodynamic compromise during mechanical ventilation to improve cardiac output, excessive amounts may precipitate or aggravate pulmonary edema, especially in patients with predisposing pulmonary or cardiac conditions. The ability to predict the hemodynamic response to a volume challenge should facilitate patient management and might help to avoid harm in those who are unlikely to benefit from volume loading.Systolic arterial pressure variation (SPV) during mechanical ventilation is more pronounced in hypovolemic than in euvolemic patients [1][2][3]. Cyclical changes in left ventricular (LV) preload during mechanical ventilation and the resultant changes in stroke volume are related to complex cardiopulmonary interactions including changes in external constraint and LV afterload, as well as systemic and pulmonary venous return through series and direct ventricular interaction [4][5][6][7][8][9][10][11]. The magnitude of SPV has been shown to predict responsiveness to a volume challenge [1][2][3][12][13][14][15][16]. One might anticipate that as LV and right ventricular (RV) preload increase during volume loading, changes in intrathoracic pressure would affect ventricular filling (and output) less and thus, SPV would be less. Alternatively stated, at higher filling pressures, the ventricles are on a flatter part of the Starling curve (fiber length cannot be increased further by increasing the filling pressure further). Therefore, a given airway pressure is less likely to reduce fiber length at higher filling pressures than at lower pressures where the Starling curve is steeper.We therefore assessed the relations between LV preload, output and SPV in an oleic acid (OA) induced acute lung injury (ALI) model in which LV filling pressures and positive end-expiratory pressures (PEEP) were systematically varied. We also assessed the potential value of estimated transmural LV end-diastolic pressure [left atrial enddiastolic pressure (P LAED ) -RV end-diastolic pressure (P RVED )], which reflects LV preload, in predicting volume responsiveness in our model. MethodsThis study was approved by the institutional animal care committee whose criteria are consistent with those of the American Physiological Society. Animal preparationIn 8 mongrel dogs of either sex (20-30 kg, mean 24 kg), anesthesia was induced with thiopental sodium (25 mg/kg i.v.) and midazolam (5 mg/ml bolus) and was maintained with fentanyl citrate (0.04 mg/ml i.v., initially, followed by an infusion of 4 mg/h), which was adjusted AbstractBackground: Systolic pressure variation (SPV) predicts responsiveness to volume loading during mechanical ventilation and may be related to changes in LV preload and the resultant changes in stroke volume (SV). We, therefore, tested the relations between LV preload, output and SPV in an acute lung injury (ALI) model during mechanical ventilation.

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“…연속적 자동 맥압변이의 안전성 및 유효성 평가에 선택된 문헌은 총 20편으로 연구유형은 모두 진단법 평가연구였다 (Table 3) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. [정리: 편집위원회]…”

Section: 체계적 문헌고찰 및 메타분석 결과unclassified

Continuous automatic pulse pressure variation: a systematic review and meta-analysis

Bang

2015

J Korean Med Assoc

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The continuous automatic pulse pressure variation (PPVauto) is a test that continuously and automatically measures the pulse pressure of the patients who need fluid therapy among the general anesthesia patients or artificial respiration patients for whom voluntary breathing is impossible during surgical procedure. The objective of this review is to evaluate the safety and effectiveness of PPVauto. The searches were conducted on eight Korean databases including KoreaMed, Medline, Embase, and Cochrane Library. Seven hundred thirty-seven literatures were searched, and total of 20 studies were included for this review. On the basis of current data, we recommend that PPVauto is safe and effective test for patients who need fluid therapy among the general anesthesia patients or artificial respiration patients for whom voluntary breathing is impossible during surgical procedure.

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Prediction of fluid responsiveness in acute respiratory distress syndrome patients ventilated with low tidal volume and high positive end-expiratory pressure*

Abstract: These data show that adenoviral mediated expression of angiopoietin-1 can protect against the development of lung capillary protein leak and decrease the mortality induced by endotoxin. However, the timing of AdAng1 administration in relation to the onset of lung injury may be critical.

Cited by 125 publications

References 37 publications

Physiological controversies and methods used to determine fluid responsiveness: a qualitative systematic review

Physiological controversies and methods used to determine fluid responsiveness: a qualitative systematic review

Left Ventricular Preload Determines Systolic Pressure Variation during Mechanical Ventilation in Acute Lung Injury

Continuous automatic pulse pressure variation: a systematic review and meta-analysis

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