Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2006;10(5):165.
doi: 10.1186/cc5029.

Predicting volume responsiveness in spontaneously breathing patients: still a challenging problem

Affiliations
Review

Predicting volume responsiveness in spontaneously breathing patients: still a challenging problem

S Magder. Crit Care. 2006.

Abstract

The prediction of which patients respond to fluid infusion and which patients do not is an important issue in the intensive care setting. Assessment of this response by monitoring changes in some hemodynamic characteristics in relation to spontaneous breathing efforts would be very helpful for the management of the critically ill. This unfortunately remains a difficult clinical problem, as discussed in the previous issue of the journal. Technical factors and physiological factors limit the usefulness of current techniques.

PubMed Disclaimer

References

    1. Wiedemann HP, Wheeler AP, Bernard GR, Thompson BT, Hayden D, deBoisblanc B, Connors AF, Jr, Hite RD, Harabin A. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med. 2006;354:2564–2575. doi: 10.1056/NEJMoa062200. - DOI - PubMed
    1. Magder S. More respect for the CVP. Int Care Med. 1998;24:651–653. doi: 10.1007/s001340050640. - DOI - PubMed
    1. Perel A, Pizov R, Cotev S. Systolic blood pressure variation is a sensitive indicator of hypovelemia in ventilated dogs subjected to graded hemorrhage. Anesthesiology. 1987;67:498–502. - PubMed
    1. Michard F, Chemla D, Richard C, Wysocki M, Pinsky MR, Lecarpentier Y, Teboul J-L. Clinical use of respiratory changes in arterial pulse pressure to monitor the hemodynamic effects of PEEP. Am J Respir Crit Care Med. 1999;159:935–939. - PubMed
    1. Magder S. Clinical usefulness of respiratory variations in arterial pressure. Am J Resp Crit Care Med. 2004;169:151–155. doi: 10.1164/rccm.200211-1360CC. - DOI - PubMed

LinkOut - more resources