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

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 previou...

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Detalles Bibliográficos
Autor principal: Magder, Sheldon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219239/
https://www.ncbi.nlm.nih.gov/pubmed/20920155
http://dx.doi.org/10.1186/cc9223
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author Magder, Sheldon
author_facet Magder, Sheldon
author_sort Magder, Sheldon
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description 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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spelling pubmed-32192392011-11-18 Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness Magder, Sheldon Crit Care Commentary 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. BioMed Central 2010 2010-09-20 /pmc/articles/PMC3219239/ /pubmed/20920155 http://dx.doi.org/10.1186/cc9223 Text en Copyright ©2010 BioMed Central Ltd
spellingShingle Commentary
Magder, Sheldon
Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title_full Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title_fullStr Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title_full_unstemmed Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title_short Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
title_sort further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219239/
https://www.ncbi.nlm.nih.gov/pubmed/20920155
http://dx.doi.org/10.1186/cc9223
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