Is the pulse pressure variation a good predictor of fluid responsiveness in mechanically ventilated patients with low tidal volume?
نویسندگان
چکیده
A transversal and interventional study that included 30 critically ill patients with acute circulatory failure, sedated and mechanically ventilated with a tidal volume of 6 to 7 ml/kg. Mechanical ventilatory measurements including positive end-expiratory pressure plateau and peak pressures, static compliance and hemodynamic measurements including PPV, heart rate, mean systemic and pulmonary arterial pressures, central venous pressure, pulmonary capillary wedge pressure and cardiac index were obtained before and after fluid challenge, performed with 1,000 ml crystalloids or 500 ml colloids. Fluid responsiveness was defined as an increase in cardiac index of at least 15%.
منابع مشابه
Pulse pressure variation as a predictor of fluid responsiveness in mechanically ventilated patients with spontaneous breathing activity: a pragmatic observational study
INTRODUCTION Pulse pressure variation predicts fluid responsiveness in mechanically ventilated patients passively adapted to the ventilator. Its usefulness in actively breathing ventilated patients was examined only by few studies with potential methodological shortcomings. This study sought to describe the performance of pulse pressure variation as a predictor of fluid responsiveness in hypote...
متن کاملRespiratory Variation in Pulse Oximetry: A Simple Fluid Responsiveness Parameter
Respiratory variation in arterial pulse pressure (ΔPP) has been shown to be the most accurate predictor of fluid responsiveness in mechanically ventilated patients, with a predictive cutoff value of 13%. However, this dynamic parameter is invasive and not widely available. The pulse oximetry plethysmographic (POP) signal resembles the arterial pressure waveform in both shape and amplitude varia...
متن کاملPulse pressure variation and prediction of fluid responsiveness in patients ventilated with low tidal volumes
OBJECTIVE To determine the utility of pulse pressure variation (ΔRESP PP) in predicting fluid responsiveness in patients ventilated with low tidal volumes (V T) and to investigate whether a lower ΔRESP PP cut-off value should be used when patients are ventilated with low tidal volumes. METHOD This cross-sectional observational study included 37 critically ill patients with acute circulatory f...
متن کاملDoes pulse pressure variation predict fluid responsiveness in critically ill patients? A systematic review and meta-analysis
INTRODUCTION Fluid resuscitation is crucial in managing hemodynamically unstable patients. The last decade witnessed the use of pulse pressure variation (PPV) to predict fluid responsiveness. However, as far as we know, no systematic review and meta-analysis has been carried out to evaluate the value of PPV in predicting fluid responsiveness specifically upon patients admitted into intensive ca...
متن کاملWhy do pulse pressure variations fail to predict the response to fluids in acute respiratory distress syndrome patients ventilated with low tidal volume?
Respiratory-associated variations in stroke volume and pulse pressure are frequently used to predict the response to fluid administration. However, it has been demonstrated that low tidal volume ventilation may limit their use in patients with acute respiratory distress syndrome (ARDS). In this issue, a trial investigates the value of pulse pressure variation to predict fluid responsiveness in ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 13 شماره
صفحات -
تاریخ انتشار 2009