Long live dynamic parameters!
نویسنده
چکیده
In a recent article about pulse pressure variation (PPV), after 4 pages of physiologic explanations, Dr Sondergaard finally concluded that ‘the subject is an exceptional demonstration of physiology but hardly guides the management of critically ill patients’ [1]. If I agree with the first part of this statement (I and others spent years dissecting the complex physiology behind PPV), I strongly disagree with the second part of the sentence for three reasons, which are not opinions but facts. First, PPV and stroke volume variation (SVV) are increasingly used to guide fluid therapy both in the operating theater and in ICUs. This was confirmed by published peerreviewed surveys, showing that the use of dynamic parameters increased from 1% in 1998 [2] to 45% in 2012 [3]. If dynamic parameters were not clinically useful one can doubt clinicians would have embraced this concept as they did.
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عنوان ژورنال:
دوره 18 شماره
صفحات -
تاریخ انتشار 2014