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
Observational Study
. 2025 May 1;29(1):172.
doi: 10.1186/s13054-025-05409-4.

Lack of preload responsiveness may determine poor clinical outcomes in mechanically ventilated patients with ARDS

Affiliations
Observational Study

Lack of preload responsiveness may determine poor clinical outcomes in mechanically ventilated patients with ARDS

Sebastien Preau et al. Crit Care. .

Abstract

NCT03763773 . Registered 3 December 2018.

Keywords: ARDS; Acute respiratory distress syndrome; Fluid responsiveness; Intensive care; Mechanical ventilation; Preload responsiveness; Prognosis; Superior vena cava; Transesophageal echocardiography.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study received approval from the Northwest ethics committee (protocol number 2018 A014 63 52). Each inclusion required oral and written informed consent from a representative (spouse, close relative, or friend) and then from the patient as soon as they were able to provide it. Consent for publication: Not applicable. Competing interests: The authors declare that they have no conflict of interest. SP has received payments from AOP Orphan and Viatris for lectures.

Figures

Fig. 1
Fig. 1
Associations between cSVC and outcomes. Scatterplot of cSVC-mean value and the number of days without mechanical ventilation at day 28 (A). Areas under the receiver operating characteristics (ROC) curve for predicting 28 day-mortality with cSVC-mean, cSVC-d1 and cSVC-d3 (B). cSVC, collapsibility index of the superior vena cava; cSVC-d1 and d3, cSVC value on day-1 and day-3; cSVC-mean, average cSVC over the monitoring duration (maximum of 3 days)

References

    1. Joseph A, Evrard B, Petit M, Goudelin M, Prat G, Slama M, et al. Fluid responsiveness in acute respiratory distress syndrome patients: a post hoc analysis of the HEMOPRED study. Intensive Care Med. 2024;50(11):1850–60. - PubMed
    1. Vieillard-Baron A, Chergui K, Rabiller A, Peyrouset O, Page B, Beauchet A, et al. Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients. Intensive Care Med. 2004;30(9):1734–9. - PubMed
    1. Castro R, Born P, Roessler E, Labra C, McNab P, Bravo S, et al. Preload responsiveness-guided fluid removal in mechanically ventilated patients with fluid overload: a comprehensive clinical-physiological study. J Crit Care. 2024;84: 154901. - PubMed
    1. Joseph A, Petit M, Vignon P, Vieillard-Baron A. Fluid responsiveness and venous congestion: unraveling the nuances of fluid status. Crit Care Lond Engl. 2024;28(1):140. - PMC - PubMed
    1. Ganeriwal S, Alves Dos Anjos G, Schleicher M, Hockstein MA, Tonelli AR, Duggal A, et al. Right ventricle-specific therapies in acute respiratory distress syndrome: a scoping review. Crit Care Lond Engl. 2023;27(1):104. - PMC - PubMed

Associated data

LinkOut - more resources