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Editorial
. 2024 Apr 26;28(1):140.
doi: 10.1186/s13054-024-04930-2.

Fluid responsiveness and venous congestion: unraveling the nuances of fluid status

Adrien Joseph  1   2 , Matthieu Petit  3   4 , Philippe Vignon  5 , Antoine Vieillard-Baron  3   4
Affiliations
Editorial

Fluid responsiveness and venous congestion: unraveling the nuances of fluid status

Adrien Joseph et al. Crit Care. .
No abstract available

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Proportion of fluid congestion in fluid responsive and non-fluid responsive patients using CVP > 12 mmHg (A) or CVP > 8 mmHg criterion (B)
Fig. 2
Fig. 2
Theoretical representation of fluid responsiveness and fluid congestion. These should not be regarded as a continuum (A) but rather as a two-dimensional state where signals of fluid responsiveness and congestion coexist (B). The benefit/harm of fluid expansion does not probably follow a linear relation with volume status (A) but rather positions itself in a two-dimensional state (B)
See this image and copyright information in PMC

References

    1. Kattan E, Castro R, Miralles-Aguiar F, Hernández G, Rola P. The emerging concept of fluid tolerance: a position paper. J Crit Care. 2022;71:154070. doi: 10.1016/j.jcrc.2022.154070. - DOI - PubMed
    1. Messmer AS, Zingg C, Müller M, Gerber JL, Schefold JC, Pfortmueller CA. Fluid overload and mortality in adult critical care patients—a systematic review and meta-analysis of observational studies. Crit Care Med. 2020;48(12):1862–1870. doi: 10.1097/CCM.0000000000004617. - DOI - PubMed
    1. Patterson SW, Piper H, Starling EH. The regulation of the heart beat. J Physiol. 1914;48(6):465–513. doi: 10.1113/jphysiol.1914.sp001676. - DOI - PMC - PubMed
    1. Muñoz F, Born P, Bruna M, Ulloa R, González C, Philp V, et al. Coexistence of a fluid responsive state and venous congestion signals in critically ill patients: a multicenter observational proof-of-concept study. Crit Care. 2024;28(1):52. doi: 10.1186/s13054-024-04834-1. - DOI - PMC - PubMed
    1. Osman D, Ridel C, Ray P, Monnet X, Anguel N, Richard C, et al. Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge*. Crit Care Med. 2007;35(1):64. doi: 10.1097/01.CCM.0000249851.94101.4F. - DOI - PubMed

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