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Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds
Dynamic variables of fluid responsiveness are useful guides for fluid management in patients under controlled positive pressure ventilation. In the previous issue of Critical Care, Jacques and colleagues show that these variables remain reliable predictors of fluid responsiveness in a porcine model...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219334/ https://www.ncbi.nlm.nih.gov/pubmed/21457517 http://dx.doi.org/10.1186/cc10074 |
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author | Tavernier, Benoit Robin, Emmanuel |
author_facet | Tavernier, Benoit Robin, Emmanuel |
author_sort | Tavernier, Benoit |
collection | PubMed |
description | Dynamic variables of fluid responsiveness are useful guides for fluid management in patients under controlled positive pressure ventilation. In the previous issue of Critical Care, Jacques and colleagues show that these variables remain reliable predictors of fluid responsiveness in a porcine model of intra-abdominal hypertension, but threshold values are higher than during normal intra-abdominal pressure. Their threshold values, however, cannot be applied to clinical practice. This study suggests that intra-abdominal pressure must be measured in critically ill patients, and 'supranormal' values of dynamic variables should be analyzed with caution. The 'fluid responsive part' of an increased dynamic variable in such patients may be estimated by measuring its change during a fluid challenge. |
format | Online Article Text |
id | pubmed-3219334 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32193342012-03-18 Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds Tavernier, Benoit Robin, Emmanuel Crit Care Commentary Dynamic variables of fluid responsiveness are useful guides for fluid management in patients under controlled positive pressure ventilation. In the previous issue of Critical Care, Jacques and colleagues show that these variables remain reliable predictors of fluid responsiveness in a porcine model of intra-abdominal hypertension, but threshold values are higher than during normal intra-abdominal pressure. Their threshold values, however, cannot be applied to clinical practice. This study suggests that intra-abdominal pressure must be measured in critically ill patients, and 'supranormal' values of dynamic variables should be analyzed with caution. The 'fluid responsive part' of an increased dynamic variable in such patients may be estimated by measuring its change during a fluid challenge. BioMed Central 2011 2011-03-18 /pmc/articles/PMC3219334/ /pubmed/21457517 http://dx.doi.org/10.1186/cc10074 Text en Copyright ©2011 BioMed Central Ltd |
spellingShingle | Commentary Tavernier, Benoit Robin, Emmanuel Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title | Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title_full | Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title_fullStr | Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title_full_unstemmed | Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title_short | Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
title_sort | assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219334/ https://www.ncbi.nlm.nih.gov/pubmed/21457517 http://dx.doi.org/10.1186/cc10074 |
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