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Published in: Intensive Care Medicine 3/2003

01-03-2003 | Review

Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care

Authors: Karim Bendjelid, Jacques-A. Romand

Published in: Intensive Care Medicine | Issue 3/2003

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Abstract

Objective

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.

Results and conclusions

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.
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Metadata
Title
Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care
Authors
Karim Bendjelid
Jacques-A. Romand
Publication date
01-03-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-002-1615-9

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