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Open Access 01-12-2013 | Review Article

Basic concepts of fluid responsiveness

Authors: T. G. V. Cherpanath, B. F. Geerts, W. K. Lagrand, M. J. Schultz, A. B. J. Groeneveld

Published in: Netherlands Heart Journal | Issue 12/2013

Abstract

Predicting fluid responsiveness, the response of stroke volume to fluid loading, is a relatively novel concept that aims to optimise circulation, and as such organ perfusion, while avoiding futile and potentially deleterious fluid administrations in critically ill patients. Dynamic parameters have shown to be superior in predicting the response to fluid loading compared with static cardiac filling pressures. However, in routine clinical practice the conditions necessary for dynamic parameters to predict fluid responsiveness are frequently not met. Passive leg raising as a means to alter biventricular preload in combination with subsequent measurement of the change in stroke volume can provide a fast and accurate way to guide fluid management in a broad population of critically ill patients.

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Title: Basic concepts of fluid responsiveness
Authors: T. G. V. Cherpanath
B. F. Geerts
W. K. Lagrand
M. J. Schultz
A. B. J. Groeneveld
Publication date: 01-12-2013
Publisher: Bohn Stafleu van Loghum
Published in: Netherlands Heart Journal / Issue 12/2013
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-013-0487-7

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