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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

Variability of response to the fluid bolus is again demonstrated

Author: Ellis R. Muggleton

Published in: Critical Care | Issue 1/2017

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Excerpt

The AFRIM study by Obonyo et al. [1] presents haemodynamic data worthy of closer analysis. The inferior vena cava collapsability index (IVCCI) was used as a surrogate measure of intravascular volume status. However, this measurement is of limited use in spontaneously breathing patients, as demonstrated by a recent meta-analysis [2]. According to Table 1 from [1], 100% of group 1 and group 2 demonstrated chest indrawing leading to the generation of significant negative intrathoracic pressures and making the measurements invalid. …
Literature
1.
Obonyo N, Brent B, Olupot-Olupot P, et al. Myocardial and haemodynamic responses to two fluid regimens in African children with severe malnutrition and hypovolaemic shock (AFRIM study). Crit Care. 2017;21:103.CrossRefPubMedPubMedCentral
2.
Long E, Oakley E, Duke T, Babl FE. Does respiratory variation in inferior vena cava diameter predict fluid responsiveness: a systematic review and meta-analysis. Shock. 2017;47(5):550–9.CrossRefPubMed
3.
Corl KA, George NR, Romanoff J, Levinson AT, Chheng DB, Merchant RC, Levy MM, Napoli AM. Inferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically ill patients. J Crit Care. 2017;41:130–7.CrossRefPubMed
4.
Talbert A, Thuo N, Karisa J, Chesaro C, Ohuma E, Ignas J, Berkley JA, Toromo C, Atkinson S, Maitland K. Diarrhoea complicating severe acute malnutrition in Kenyan children: a prospective descriptive study of risk factors and outcome. PLoS One. 2012;7(6):e38321.CrossRefPubMedPubMedCentral
Metadata
Title
Variability of response to the fluid bolus is again demonstrated
Author
Ellis R. Muggleton
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1793-z

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