[Arterial pressure curve and fluid status.]

Pestel, G; Fukui, K (2009). [Arterial pressure curve and fluid status.]. Anaesthesist, 58(4), pp. 415-420. Heidelberg: Springer-Medizin-Verlag 10.1007/s00101-009-1526-z

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Fluid optimization is a major contributor to improved outcome in patients. Unfortunately, anesthesiologists are often in doubt whether an additional fluid bolus will improve the hemodynamics of the patient or not as excess fluid may even jeopardize the condition. This article discusses physiological concepts of liberal versus restrictive fluid management followed by a discussion on the respective capabilities of various monitors to predict fluid responsiveness. The parameter difference in pulse pressure (dPP), derived from heart-lung interaction in mechanically ventilated patients is discussed in detail. The dPP cutoff value of 13% to predict fluid responsiveness is presented together with several assessment techniques of dPP. Finally, confounding variables on dPP measurements, such as ventilation parameters, pneumoperitoneum and use of norepinephrine are also mentioned.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Pestel, Gunther Jürgen

ISSN:

0003-2417

ISBN:

19326052

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

04 Oct 2013 15:03

Last Modified:

23 Jan 2018 12:17

Publisher DOI:

10.1007/s00101-009-1526-z

PubMed ID:

19326052

Web of Science ID:

000265397000015

URI:

https://boris.unibe.ch/id/eprint/27289 (FactScience: 105903)

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