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Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care
In mechanically ventilated patients the indices which assess preload are used with increasing frequency to predict the hemodynamic response to volume expansion. We discuss the clinical utility and accuracy of some indices which were tested as bedside indicators of preload reserve and fluid responsiv...
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| Published in: | Intensive care medicine 2003-03, Vol.29 (3), p.352-360 |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c463t-b09e5cec213769ab07d5fd4d912c8d03ac98a37df00abbc84b49d7a4e411ed643 |
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| cites | cdi_FETCH-LOGICAL-c463t-b09e5cec213769ab07d5fd4d912c8d03ac98a37df00abbc84b49d7a4e411ed643 |
| container_end_page | 360 |
| container_issue | 3 |
| container_start_page | 352 |
| container_title | Intensive care medicine |
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| creator | BENDJELID, Karim ROMAND, Jacques-A |
| description | In mechanically ventilated patients the indices which assess preload are used with increasing frequency to predict the hemodynamic response to volume expansion. We discuss the clinical utility and accuracy of some indices which were tested as bedside indicators of preload reserve and fluid responsiveness in hypotensive patients under positive pressure ventilation.
Although preload assessment can be obtained with fair accuracy, the clinical utility of volume responsiveness-guided fluid therapy still needs to be demonstrated. Indeed, it is still not clear whether any form of monitoring-guided fluid therapy improves survival. |
| doi_str_mv | 10.1007/s00134-002-1615-9 |
| format | article |
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| fulltext | fulltext |
| identifier | ISSN: 0342-4642 |
| ispartof | Intensive care medicine, 2003-03, Vol.29 (3), p.352-360 |
| issn | 0342-4642 1432-1238 |
| language | eng |
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| source | Springer Nature |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Output - physiology Critical Care Critical Illness Emergency and intensive respiratory care Fluid Therapy Hemodynamics - physiology Humans Hypotension - physiopathology Intensive care medicine Lung Volume Measurements Medical sciences Monitoring, Physiologic Positive-Pressure Respiration Predictive Value of Tests |
| title | Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care |
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