Key result
Functional evaluation of preload responsiveness, such as respiratory variation of arterial pulse pressure, provides better prediction of the hemodynamic response to fluid therapy than static markers.
Why the study?
Do dynamic functional indices better predict hemodynamic response to fluid therapy compared to static markers of preload in patients with hemodynamic failure?
Population
Patients with hemodynamic failure requiring fluid therapy assessment
Comparison
Dynamic/functional indices of preload… vs Static markers of preload
Design
Review
Authors
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Dynamic indices may aid fluid decisions in shock; leaves open outcome benefits in prospective trials.
Do dynamic functional indices better predict hemodynamic response to fluid therapy compared to static markers of preload in patients with hemodynamic failure?
Dynamic functional indices of preload responsiveness are superior to static markers for predicting hemodynamic response to fluid therapy.
Monnet et al. (2006) conducted a review in Hemodynamic failure. Invasive indicators of preload and predictors of preload responsiveness vs. Static markers of preload was evaluated. Functional evaluation of preload responsiveness, such as respiratory variation of arterial pulse pressure, provides better prediction of the hemodynamic response to fluid therapy than static markers.
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