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09-05-2024 | Echocardiography | REVIEW

Assessment of Fluid Responsiveness with Critical Care Echocardiography: An Update

Author: Govind Pandompatam

Published in: Current Pulmonology Reports

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Abstract

Purpose of Review

To review the tests of fluid responsiveness and volume status with critical care echocardiography, including their uses, performance, and limitations.

Recent Findings

Fluid overload is detrimental to critically ill patients. Dynamic parameters of fluid responsiveness are able to predict which patients will respond to a fluid bolus with an increase in cardiac output. These tests include the passive leg raise, stroke volume variation, vena cava variability, and the end expiratory occlusion maneuver.

Summary

Critical care echocardiography can be used to evaluate changes in preload and stroke volume during performance of dynamic fluid responsiveness tests. The LVOT VTI is a central parameter used to estimate changes in stroke volume in real time during performance of these tests.
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Metadata
Title
Assessment of Fluid Responsiveness with Critical Care Echocardiography: An Update
Author
Govind Pandompatam
Publication date
09-05-2024
Publisher
Springer US
Published in
Current Pulmonology Reports
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-024-00352-1
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