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Predicting and measuring fluid responsiveness with echocardiography

Echo Research & Practice volume 3, pages G1–G12 (2016)Cite this article

Abstract

Echocardiography is ideally suited to guide fluid resuscitation in critically ill patients. It can be used to assess fluid responsiveness by looking at the left ventricle, aortic outflow, inferior vena cava and right ventricle. Static measurements and dynamic variables based on heart–lung interactions all combine to predict and measure fluid responsiveness and assess response to intravenous fluid resuscitation. Thorough knowledge of these variables, the physiology behind them and the pitfalls in their use allows the echocardiographer to confidently assess these patients and in combination with clinical judgement manage them appropriately.

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This work did not receive any specific grant from any funding agency in the public, commercial, or not-for-profit sector.

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Authors and Affiliations

  1. Intensive Care, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK

    Miller Ashley MBChB FRCA FFICM

  2. Intensive Care, Buckinghamshire Healthcare NHS Trust, High Wycombe, UK

    Mandeville Justin MB BS BSc MRCP FRCA FFICM

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  1. Miller Ashley MBChB FRCA FFICM
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  2. Mandeville Justin MB BS BSc MRCP FRCA FFICM
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Correspondence to Miller Ashley MBChB FRCA FFICM.

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Ashley, M., Justin, M. Predicting and measuring fluid responsiveness with echocardiography. Echo Res Pract 3, G1–G12 (2016). https://doi.org/10.1530/ERP-16-0008

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Echo Research & Practice

ISSN: 2055-0464

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