Quantitative assessment of cardiac load-responsiveness during extracorporeal life support: case and rationale

We describe a case of a patient assisted by extracorporeal life support, in which we obtained the dynamic filling index, a measure for venous volume during extracorporeal life support, and used this index to assess cardiac load-responsiveness during acute reloading. While reloading, the obtained fin...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2010-04, Vol.5 (1), p.30-30, Article 30
Main Authors: Simons, Antoine P, Lancé, Marcus D, Reesink, Koen D, van der Veen, Frederik H, Weerwind, Patrick W, Maessen, Jos G
Format: Article
Language:English
Subjects:
Blood oxygenation, Extracorporeal
Cardiac arrest
Care and treatment
Case report
Diagnosis
Extracorporeal Circulation
Health aspects
Heart - physiopathology
Hemodynamics
Humans
Methods
Myocardial Infarction - complications
Patient outcomes
Shock, Cardiogenic - physiopathology
Shock, Cardiogenic - therapy
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Summary:We describe a case of a patient assisted by extracorporeal life support, in which we obtained the dynamic filling index, a measure for venous volume during extracorporeal life support, and used this index to assess cardiac load-responsiveness during acute reloading. While reloading, the obtained findings on cardiac pump function by the dynamic filling index were supported by trans-esophageal echocardiography and standard pressure measurement. This suggests that the dynamic filling index can be used to assess cardiac load-responsiveness during extracorporeal life support.
ISSN:1749-8090
1749-8090
DOI:10.1186/1749-8090-5-30