Why the study?
Do dynamic parameters like respiratory changes in arterial pulse pressure predict fluid responsiveness better than static filling pressures in mechanically ventilated critically ill patients?
Population
Critically ill patients with acute circulatory failure undergoing mechanical ventilation
Comparison
Assessment of fluid responsiveness using dynamic… vs Assessment using static parameters
Design
Review
Authors
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Dynamic indices may guide fluid decisions in sedated ventilated patients; leaves open prospective outcome trials before practice change.
Do dynamic parameters like respiratory changes in arterial pulse pressure predict fluid responsiveness better than static filling pressures in mechanically ventilated critically ill patients?
Dynamic indicators derived from heart-lung interactions, such as respiratory changes in pulse pressure, are superior to traditional static filling pressures for predicting fluid responsiveness in mechanically ventilated patients.
Michard et al. (2000) studied this question.
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