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Intensive Care Medicine
Published in: Intensive Care Medicine 9/2003

01-09-2003 | Correspondence

Influence of tidal volume on stroke volume variation. Does it really matter?

Authors: Frédéric Michard, Jean-Louis Teboul, Christian Richard

Published in: Intensive Care Medicine | Issue 9/2003

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Excerpt

Sir: We read with interest the study by Reuter et al. [1] illustrating the influence of tidal volume (Vt) on stroke volume variation (SVV) evaluated by pulse contour analysis. The SVV—evaluated either by pulse contour or arterial pressure waveform analysis—has been proposed to assess the sensitivity of the heart to changes in cardiac preload (i.e. the slope of the Frank-Starling curve) and, hence, to detect fluid responsiveness in mechanically ventilated patients [2, 3, 4]. …
Literature
1.
Reuter DA, Bayerlein J, Goeppert MSG, Weis FC, Kilger E, Lamm P, Goetz AE (2003) Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients. Intensive Care Med 29:476–480PubMed
2.
Tavernier B, Makhotine O, Lebuffe G, Dupont J, Scherpereel P (1998) Systolic pressure variation as a guide to fluid therapy in patients with sepsis-induced hypotension. Anesthesiology 89:1313–1321PubMed
3.
Michard F, Boussat S, Chemla D, Anguel N, Mercat A, Lecarpentier Y, Richard C, Pinsky MR, Teboul JL (2000) Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 162:134–138PubMed
4.
Reuter DA, Felbinger TW, Schmidt C, Kilger E, Goedje O, Lamm P, Goetz AE (2002) Stroke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery. Intensive Care Med 28:392–398CrossRefPubMed
5.
Eichaker PQ, Gerstenberger EP, Banks SM, Cui X, Natanson C (2002) Meta-analysis of acute lung injury and acute respiratory distress syndrome trials testing low tidal volumes. Am J Respir Crit Care Med 166:1510–1514
Metadata
Title
Influence of tidal volume on stroke volume variation. Does it really matter?
Authors
Frédéric Michard
Jean-Louis Teboul
Christian Richard
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 9/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-1886-9

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