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Critical Care
Published in: Critical Care 1/2019

Open Access 01-12-2019 | Editorial

The end-expiratory occlusion test: please, let me hold your breath!

Authors: Francesco Gavelli, Jean-Louis Teboul, Xavier Monnet

Published in: Critical Care | Issue 1/2019

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Excerpt

Fluids must be considered as drugs, with serious adverse effects and inconstant efficacy. Then, they should be administered only if there is reasonable chance that cardiac output (CO) will increase in response. Many tests or indices detecting “fluid responsiveness” have been developed for this purpose. …
Literature
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Monnet X, Osman D, Ridel C, Lamia B, Richard C, Teboul J-L. Predicting volume responsiveness by using the end-expiratory occlusion in mechanically ventilated intensive care unit patients. Crit Care Med. 2009;37:951–6.CrossRef
2.
Monnet X, Dres M, Ferré A, Le Teuff G, Jozwiak M, Bleibtreu A, et al. Prediction of fluid responsiveness by a continuous non-invasive assessment of arterial pressure in critically ill patients: comparison with four other dynamic indices. Br J Anaesth. 2012;109:330–8.CrossRef
3.
Monnet X, Bleibtreu A, Ferré A, Dres M, Gharbi R, Richard C, et al. Passive leg-raising and end-expiratory occlusion tests perform better than pulse pressure variation in patients with low respiratory system compliance. Crit Care Med. 2012;40:152–7.CrossRef
4.
Silva S, Jozwiak M, Teboul J-L, Persichini R, Richard C, Monnet X. End-expiratory occlusion test predicts preload responsiveness independently of positive end-expiratory pressure during acute respiratory distress syndrome. Crit Care Med. 2013;41:1692–701.CrossRef
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Guinot P-G, Godart J, de Broca B, Bernard E, Lorne E, Dupont H. End-expiratory occlusion manoeuvre does not accurately predict fluid responsiveness in the operating theatre. Br J Anaesth. 2014;112:1050–4.CrossRef
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Biais M, Larghi M, Henriot J, de Courson H, Sesay M, Nouette-Gaulain K. End-expiratory occlusion test predicts fluid responsiveness in patients with protective ventilation in the operating room. Anesth Analg. 2017;125:1889–95.CrossRef
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Yonis H, Bitker L, Aublanc M, Perinel Ragey S, Riad Z, Lissonde F, et al. Change in cardiac output during Trendelenburg maneuver is a reliable predictor of fluid responsiveness in patients with acute respiratory distress syndrome in the prone position under protective ventilation. Crit Care. 2017;21:295.CrossRef
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Jozwiak M, Depret F, Teboul J-L, Alphonsine J-E, Lai C, Richard C, et al. Predicting fluid responsiveness in critically ill patients by using combined end-expiratory and end-inspiratory occlusions with echocardiography. Crit Care Med. 2017;45:e1131–8.CrossRef
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Myatra SN, Prabu NR, Divatia JV, Monnet X, Kulkarni AP, Teboul J-L. The changes in pulse pressure variation or stroke volume variation after a “tidal volume challenge” reliably predict fluid responsiveness during low tidal volume ventilation. Crit Care Med. 2017;45:415–21.CrossRef
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Georges D, de Courson H, Lanchon R, Sesay M, Nouette-Gaulain K, Biais M. End-expiratory occlusion maneuver to predict fluid responsiveness in the intensive care unit: an echocardiographic study. Crit Care. 2018;22:32.CrossRef
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Dépret F, Jozwiak M, Teboul J-L, Alphonsine J-E, Richard C, Monnet X. Esophageal Doppler can predict fluid responsiveness through end-expiratory and end-inspiratory occlusion tests. Crit Care Med. 2019;47:e96–102.CrossRef
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Messina A, Montagnini C, Cammarota G, De Rosa S, Giuliani F, Muratore L, et al. Tidal volume challenge to predict fluid responsiveness in the operating room: a prospective trial on neurosurgical patients undergoing protective ventilation. Eur J Anaesthesiol. 2019;36:583–91.PubMed
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Xu L-Y, Tu G-W, Cang J, Hou J-Y, Yu Y, Luo Z, et al. End-expiratory occlusion test predicts fluid responsiveness in cardiac surgical patients in the operating theatre. Ann Transl Med. 2019.
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Beurton A, Teboul J-L, Gavelli F, Gonzalez FA, Girotto V, Galarza L, et al. The effects of passive leg raising may be detected by the plethysmographic oxygen saturation signal in critically ill patients. Crit Care. 2019;23:19.CrossRef
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Jozwiak M, Mercado P, Teboul J-L, Benmalek A, Gimenez J, Dépret F, et al. What is the lowest change in cardiac output that transthoracic echocardiography can detect? Crit Care. 2019;23:116. Publish ahead of print.
Metadata
Title
The end-expiratory occlusion test: please, let me hold your breath!
Authors
Francesco Gavelli
Jean-Louis Teboul
Xavier Monnet
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2019
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-019-2554-y

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