Fluid responsiveness and right ventricular function in cardiac surgical patients. A multicenter study

Autor: Ranucci, M, Pazzaglia, A, Tritapepe, L, Guarracino, F, Lupo, M, Salandin, V, del Sarto, P, Condemi, A, Campodonico, R, Laudani, G, Pittarello, D, Belloni, L, Ri.Ve.R. (Right Ventricle Research) Group
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
Popis: Introduction We investigated fluid responsiveness in a population of patients undergoing coronary artery revascularization, with respect to their right ventricular ejection fraction. Materials and Methods This was a multicenter trial involving 11 cardiac surgical Institutions and 65 patients undergoing elective coronary artery revascularization. Hemodynamic parameters were measured before and after volume expansion using a modified pulmonary artery catheter and transesophageal echocardiographic monitoring. Patients demonstrating an increase of stroke volume >20% after volume expansion were considered as responders. Volume expansion with 7 ml/kg of plasma expander was performed when required on a clinical basis. Results In the overall population, only the change in aortic blood velocity (cut-off 13%) was a predictor of fluid responsiveness. In patients with a reduced (
Databáze: OpenAIRE