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Applicability of respiratory variations in stroke volume and its surrogates for dynamic fluid responsiveness prediction in critically ill patients: a systematic review of the prevalence of required conditions
OBJECTIVE: The present systematic review searched for published data on the prevalence of required conditions for proper assessment in critically ill patients. METHODS: The Medline, Scopus and Web of Science databases were searched to identify studies that evaluated the prevalence of validated condi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385988/ https://www.ncbi.nlm.nih.gov/pubmed/28444075 http://dx.doi.org/10.5935/0103-507X.20170011 |
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author | Taniguchi, Leandro Utino Zampieri, Fernando Godinho Nassar Jr., Antonio Paulo |
author_facet | Taniguchi, Leandro Utino Zampieri, Fernando Godinho Nassar Jr., Antonio Paulo |
author_sort | Taniguchi, Leandro Utino |
collection | PubMed |
description | OBJECTIVE: The present systematic review searched for published data on the prevalence of required conditions for proper assessment in critically ill patients. METHODS: The Medline, Scopus and Web of Science databases were searched to identify studies that evaluated the prevalence of validated conditions for the fluid responsiveness assessment using respiratory variations in the stroke volume or another surrogate in adult critically ill patients. The primary outcome was the suitability of the fluid responsiveness evaluation. The secondary objectives were the type and prevalence of pre-requisites evaluated to define the suitability. RESULTS: Five studies were included (14,804 patients). High clinical and statistical heterogeneity was observed (I(2) = 98.6%), which prevented us from pooling the results into a meaningful summary conclusion. The most frequent limitation identified is the absence of invasive mechanical ventilation with a tidal volume ≥ 8mL/kg. The final suitability for the fluid responsiveness assessment was low (in four studies, it varied between 1.9 to 8.3%, in one study, it was 42.4%). CONCLUSION: Applicability of the dynamic indices of preload responsiveness requiring heart-lung interactions might be limited in daily practice. |
format | Online Article Text |
id | pubmed-5385988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-53859882017-04-14 Applicability of respiratory variations in stroke volume and its surrogates for dynamic fluid responsiveness prediction in critically ill patients: a systematic review of the prevalence of required conditions Taniguchi, Leandro Utino Zampieri, Fernando Godinho Nassar Jr., Antonio Paulo Rev Bras Ter Intensiva Review Articles OBJECTIVE: The present systematic review searched for published data on the prevalence of required conditions for proper assessment in critically ill patients. METHODS: The Medline, Scopus and Web of Science databases were searched to identify studies that evaluated the prevalence of validated conditions for the fluid responsiveness assessment using respiratory variations in the stroke volume or another surrogate in adult critically ill patients. The primary outcome was the suitability of the fluid responsiveness evaluation. The secondary objectives were the type and prevalence of pre-requisites evaluated to define the suitability. RESULTS: Five studies were included (14,804 patients). High clinical and statistical heterogeneity was observed (I(2) = 98.6%), which prevented us from pooling the results into a meaningful summary conclusion. The most frequent limitation identified is the absence of invasive mechanical ventilation with a tidal volume ≥ 8mL/kg. The final suitability for the fluid responsiveness assessment was low (in four studies, it varied between 1.9 to 8.3%, in one study, it was 42.4%). CONCLUSION: Applicability of the dynamic indices of preload responsiveness requiring heart-lung interactions might be limited in daily practice. Associação de Medicina Intensiva Brasileira - AMIB 2017 /pmc/articles/PMC5385988/ /pubmed/28444075 http://dx.doi.org/10.5935/0103-507X.20170011 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Articles Taniguchi, Leandro Utino Zampieri, Fernando Godinho Nassar Jr., Antonio Paulo Applicability of respiratory variations in stroke volume and its surrogates for dynamic fluid responsiveness prediction in critically ill patients: a systematic review of the prevalence of required conditions |
title | Applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
title_full | Applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
title_fullStr | Applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
title_full_unstemmed | Applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
title_short | Applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
title_sort | applicability of respiratory variations in stroke volume and its
surrogates for dynamic fluid responsiveness prediction in critically ill
patients: a systematic review of the prevalence of required
conditions |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385988/ https://www.ncbi.nlm.nih.gov/pubmed/28444075 http://dx.doi.org/10.5935/0103-507X.20170011 |
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