Basic concepts of fluid responsiveness

被引：62
作者：
Cherpanath, T. G. V. [1 ]
Geerts, B. F. [1 ]
Lagrand, W. K. [1 ]
Schultz, M. J. [2 ]
Groeneveld, A. B. J. [3 ]
机构：
[1] Univ Amsterdam, Acad Med Ctr, Dept Intens Care Med, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Intens Care Med, LEICA, NL-1105 AZ Amsterdam, Netherlands
[3] Erasmus MC, Dept Intens Care Med, NL-3015 CE Rotterdam, Netherlands
来源：
NETHERLANDS HEART JOURNAL | 2013年 / 21卷 / 12期
关键词：
Fluid responsiveness; Venous return; Cardiac function; Pulse contour analysis; Passive leg raising; CRITICALLY-ILL PATIENTS; STROKE VOLUME VARIATION; MECHANICALLY VENTILATED PATIENTS; PULSE-PRESSURE VARIATION; SPONTANEOUSLY BREATHING PATIENTS; RANDOMIZED CONTROLLED-TRIAL; CENTRAL VENOUS-PRESSURE; ACUTE LUNG INJURY; OF-THE-LITERATURE; CARDIAC-OUTPUT;
D O I：
10.1007/s12471-013-0487-7
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Predicting fluid responsiveness, the response of stroke volume to fluid loading, is a relatively novel concept that aims to optimise circulation, and as such organ perfusion, while avoiding futile and potentially deleterious fluid administrations in critically ill patients. Dynamic parameters have shown to be superior in predicting the response to fluid loading compared with static cardiac filling pressures. However, in routine clinical practice the conditions necessary for dynamic parameters to predict fluid responsiveness are frequently not met. Passive leg raising as a means to alter biventricular preload in combination with subsequent measurement of the change in stroke volume can provide a fast and accurate way to guide fluid management in a broad population of critically ill patients.
引用
收藏
页码：530 / 536
页数：7
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