Pinsky, MR
(2005)
Assessment of indices of preload and volume responsiveness.
Current Opinion in Critical Care, 11 (3).
235 - 239.
ISSN 1070-5295
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Abstract
Purpose of review: To summarize the relevant peer-reviewed publications over the past year that addressed issues of when to give (or not give) fluid to the critically ill patient. Recent findings: Clinical data from several studies underscore the inability of measures of ventricular filling to assess either preload or preload responsiveness. Whereas less invasive monitoring techniques than pulmonary arterial catheterization demonstrate better discriminations with estimates of both preload and preload responsiveness. Measuring dynamic changes in stroke volume, descending aortic flow, and both superior and inferior vena caval diameters during ventilation provides good predictive value in defining preload responsiveness. One study demonstrated that resuscitation protocols keyed to esophageal flow measures improved outcome in postoperative cardiac surgery patients. Summary: Preload is not preload responsiveness. Functional measures of preload responsiveness exist and are superior to traditional measures of filling pressures in driving resuscitation in critically ill patients. © 2005 Lippincott Williams & Wilkins.
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Details
Item Type: |
Article
|
Status: |
Published |
Creators/Authors: |
|
Date: |
1 June 2005 |
Date Type: |
Publication |
Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
Journal or Publication Title: |
Current Opinion in Critical Care |
Volume: |
11 |
Number: |
3 |
Page Range: |
235 - 239 |
DOI or Unique Handle: |
10.1097/01.ccx.0000158848.56107.b1 |
Institution: |
University of Pittsburgh |
Schools and Programs: |
School of Medicine > Critical Care Medicine |
Refereed: |
Yes |
ISSN: |
1070-5295 |
Article Type: |
Review |
Date Deposited: |
14 Jul 2012 19:40 |
Last Modified: |
30 Jan 2020 16:55 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/12410 |
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