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Critical Care
Published in: Critical Care 1/2014

01-02-2014 | Letter

Long live dynamic parameters!

Author: Frederic Michard

Published in: Critical Care | Issue 1/2014

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Excerpt

In a recent article about pulse pressure variation (PPV), after 4 pages of physiologic explanations, Dr Sondergaard finally concluded that 'the subject is an exceptional demonstration of physiology but hardly guides the management of critically ill patients’ [1]. If I agree with the first part of this statement (I and others spent years dissecting the complex physiology behind PPV), I strongly disagree with the second part of the sentence for three reasons, which are not opinions but facts. …
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Srinivasa S, Kahokehr A, Soop M, Taylor M, Hill AG: Goal-directed fluid therapy – a survey of anaesthetists in the UK, USA, Australia and New Zealand. BMC Anesthesiol 2013, 13: 5. 10.1186/1471-2253-13-5PubMedCentralCrossRefPubMed
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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
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Goepfert MS, Richter HP, Eulenburg CZ, Gruetzmacher J, Rafflenbeul E, Roeher K, Sandersleben AV, Diedrichs S, Reichenspurner H, Goetz AE, Reuter DA: Individually optimized hemodynamic therapy reduces complications and length of stay in the intensive care unit: a prospective, randomized controlled trial. Anesthesiology 2013, 119: 824-836. 10.1097/ALN.0b013e31829bd770CrossRefPubMed
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Lopes MR, Oliveira MA, Pereira V, Lemos I, Auler J, 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
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Mayer J, Boldt J, Mengistu A, Rohm K, Suttner S: Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care 2010, 14: R18. 10.1186/cc8875PubMedCentralCrossRefPubMed
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Ramsingh DS, Sanghvi C, Gamboa J, Cannesson M, Applegate RL: Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled trial. J Clin Monit Comput 2013, 27: 249-257. 10.1007/s10877-012-9422-5CrossRefPubMed
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Salzwedel C, Puig J, Carstens A, Bein B, Molnar Z, Kiss K, Hussain A, Belda J, Kirov MY, Sakka SG, Reuter DA: Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-center, prospective, randomized study. Crit Care 2013, 17: R191. 10.1186/cc12885PubMedCentralCrossRefPubMed
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Metadata
Title
Long live dynamic parameters!
Author
Frederic Michard
Publication date
01-02-2014
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2014
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc13749

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