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01-12-2010 | Letter

Using pulse pressure variation or stroke volume variation to diagnose right ventricular failure?

Authors: Frederic Michard, Guy Richards, Matthieu Biais, Marcel Lopes, Jose Otavio Auler

Published in: Critical Care | Issue 6/2010

Excerpt

We read with interest two recent studies suggesting that pulse pressure variation (PPV) is not an accurate predictor of fluid responsiveness in subjects with pulmonary hypertension [1, 2]. …

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Wyler von Ballmoos M, Takala J, Roeck M, Porta F, Tueller D, Ganter CC, Schröder R, Bracht H, Baenziger B, Jakob SM: Pulse-pressure variation and hemodynamic response in patients with elevated pulmonary artery pressure: a clinical study. Crit Care 2010, 14: R111. 10.1186/cc9060PubMedCentralCrossRefPubMed

Michard F: Changes in arterial pressure during mechanical ventilation. Anesthesiology 2005, 103: 419-428. 10.1097/00000542-200508000-00026CrossRefPubMed

Lopes MR, Oliveira MA, Pereira VO, Lemos IP, Auler JO Jr, Michard F: Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit Care 2007, 11: R100. 10.1186/cc6117PubMedCentralCrossRefPubMed

Benes J, Chytra I, Altmann P, Hluchy M, Kasal E, Svitak R, Pradl R, Stepan M: Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care 2010, 14: R118. 10.1186/cc9070PubMedCentralCrossRefPubMed

Magder S: Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness. Crit Care 2010, 14: 197. 10.1186/cc9223PubMedCentralCrossRefPubMed

De Backer D, Heenen S, Piagnerelli M, Koch M, Vincent JL: Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Med 2005, 31: 517-523. 10.1007/s00134-005-2586-4CrossRefPubMed

Kim HK, Pinsky MR: Effect of tidal volume, sampling duration, and cardiac contractility on pulse pressure and stroke volume variation during positive-pressure ventilation. Crit Care Med 2008, 36: 2858-2862. 10.1097/CCM.0b013e3181865aeaPubMedCentralCrossRefPubMed

Title: Using pulse pressure variation or stroke volume variation to diagnose right ventricular failure?
Authors: Frederic Michard
Guy Richards
Matthieu Biais
Marcel Lopes
Jose Otavio Auler
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Critical Care / Issue 6/2010
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc9303

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Using pulse pressure variation or stroke volume variation to diagnose right ventricular failure?

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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