Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness

被引：12

作者：

Magder, Sheldon ^{[1
]}

机构：

[1] Royal Victoria Hosp, Montreal, PQ H3A 1A1, Canada

来源：

CRITICAL CARE | 2010年 / 14卷 / 05期

关键词：

INFLATION; LUNG;

D O I：

10.1186/cc9223

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Variations in systemic arterial pressure with positive-pressure breathing are frequently used to guide fluid management in hemodynamically unstable patients. However, because of the complex physiology that determines the response, there are important limitations to their use. Two papers in a previous volume add pulmonary hypertension as limitations. Uncritical use of ventilatory-induced changes in arterial pressure can lead to excessive volume therapy and potential clinical harm, and they must be used with respect and thought.

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页数：2

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