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Recent data using transoesophageal Doppler suggest that it may predict fluid responsiveness in critical care.
The mini-fluid challenge may predict fluid responsiveness with minimum risk of fluid overloading.
In spontaneously breathing patients with hypovolemia, a IVC collapsibility >42% may predict fluid responsiveness with high specificity (97%) [26]; however, normovolemic patients with large respiratory efforts may simulate this IVC dynamics [23].
In patients treated with venovenous ECMO, a > 10% ΔPLRSV may predict fluid responsiveness.
A > 10% increase of ΔPLRSV may predict fluid responsiveness in patients treated with venovenous ECMO.
In this context, echocardiographic measurement of ΔPLRSV and ΔPLRCO may predict fluid responsiveness.
Similar(53)
They have suggested that PiCCO-obtained data such as stroke volume variation or intra-thoracic blood volume index (ITBI) may better predict fluid responsiveness [ 5- 10].
Although each dynamic measure may independently predict fluid responsiveness, combining several independently affected physiological parameters, like PPV and IJV distensibility, improves the sensitivity and specificity of these parameters to predict volume responsiveness.
Despite the numerous validity criteria required to interpret such variations, these variables may help predict fluid responsiveness at different thresholds and have been integrated into hemodynamic optimization protocols [ 58].
At low cardiac filling, volumes may thus better predict fluid responsiveness than pressures, while in hearts with systolic dysfunction and dilatation, pressures may better predict and monitor fluid responsiveness than volumes [ 5, 22].
First, indices that have been developed to predict fluid responsiveness/unresponsiveness may be very useful [96].
Related(20)
may predict neurological
may show fluid
may alter fluid
may predict NPDs
may drive fluid
may predict future
may trigger fluid
may be fluid
may regulate fluid
may prevent fluid
may reflect fluid
may neglect fluid
may dominate fluid
may cause fluid
may indicate fluid
may include fluid
may allow fluid
may incite fluid
may impact fluid
may limit fluid
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