Can Transthoracic Echocardiography Be Used to Predict Fluid Responsiveness in the Critically Ill Patient? A Systematic Review
| Autor: | Claire L. Colebourn, Justin C. Mandeville |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Thorax
medicine.medical_specialty Cardiac output Critically ill business.industry Fluid responsiveness lcsh:Medical emergencies. Critical care. Intensive care. First aid Review Article lcsh:RC86-88.9 Stroke volume Critical Care and Intensive Care Medicine Inferior vena cava Preload medicine.anatomical_structure medicine.vein Internal medicine medicine Cardiology Abdomen Intensive care medicine business |
| Zdroj: | Critical Care Research and Practice, Vol 2012 (2012) Critical Care Research and Practice |
| ISSN: | 2090-1313 2090-1305 |
| Popis: | Introduction. We systematically evaluated the use of transthoracic echocardiography in the assessment of dynamic markers of preload to predict fluid responsiveness in the critically ill adult patient.Methods. Studies in the critically ill using transthoracic echocardiography (TTE) to predict a response in stroke volume or cardiac output to a fluid load were selected. Selection was limited to English language and adult patients. Studies on patients with an open thorax or abdomen were excluded.Results. The predictive power of diagnostic accuracy of inferior vena cava diameter and transaortic Doppler signal changes with the respiratory cycle or passive leg raising in mechanically ventilated patients was strong throughout the articles reviewed. Limitations of the technique relate to patient tolerance of the procedure, adequacy of acoustic windows, and operator skill.Conclusions. Transthoracic echocardiographic techniques accurately predict fluid responsiveness in critically ill patients. Discriminative power is not affected by the technique selected. |
| Databáze: | OpenAIRE |
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