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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...

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Detalles Bibliográficos
Autores principales: Tavernier, Benoit, Robin, Emmanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
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.
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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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