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Erschienen in: Journal of Anesthesia 2/2020

07.01.2020 | Editorial

Update on the assessment of fluid responsiveness

verfasst von: Koichi Suehiro

Erschienen in: Journal of Anesthesia | Ausgabe 2/2020

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Excerpt

Hemodynamic fluctuations, including hypotension and decreases in cardiac output (CO), frequently occur during general anesthesia and can lead to acute circulatory failure. Under these circumstances, fluid loading is the first-line therapeutic method. However, excessive fluid volume expansion can be harmful, especially in patients with heart disease. As patients with acute circulatory failure do not usually respond to fluid loading by increasing their CO, numerous studies [13] have been conducted to develop tests that predict “fluid responsiveness”. Although static indices, such as central venous pressure and pulmonary capillary wedge pressure, have been traditionally used for assessing patients’ volume status, these indices have poor reliability for identifying fluid responders [4]. Dynamic indices, including pulse pressure variation (PPV) and stroke volume variation (SVV), have been recently used, and they provide better predictability for fluid responsiveness [5, 6]. Recent advances in minimally invasive hemodynamic monitoring allow for an increased clinical applicability of these indices [710]. Goal-directed therapy using dynamic indices decreases postoperative morbidity under various clinical conditions [1113]. …
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Metadaten
Titel
Update on the assessment of fluid responsiveness
verfasst von
Koichi Suehiro
Publikationsdatum
07.01.2020
Verlag
Springer Singapore
Erschienen in
Journal of Anesthesia / Ausgabe 2/2020
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-019-02731-4

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