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01-12-2013 | Review Article | Uitgave 12/2013 Open Access

Netherlands Heart Journal 12/2013

Basic concepts of fluid responsiveness

Tijdschrift:
Netherlands Heart Journal > Uitgave 12/2013
Auteurs:
T. G. V. Cherpanath, B. F. Geerts, W. K. Lagrand, M. J. Schultz, A. B. J. Groeneveld

Abstract

Predicting fluid responsiveness, the response of stroke volume to fluid loading, is a relatively novel concept that aims to optimise circulation, and as such organ perfusion, while avoiding futile and potentially deleterious fluid administrations in critically ill patients. Dynamic parameters have shown to be superior in predicting the response to fluid loading compared with static cardiac filling pressures. However, in routine clinical practice the conditions necessary for dynamic parameters to predict fluid responsiveness are frequently not met. Passive leg raising as a means to alter biventricular preload in combination with subsequent measurement of the change in stroke volume can provide a fast and accurate way to guide fluid management in a broad population of critically ill patients.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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