Hemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients
Joint Authors
Préau, Sébastien
Durocher, Alain
Saulnier, Fabienne
Dewavrin, Florent
Colling, Delphine
Soland, Vincent
Bortolotti, Perrine
Chagnon, Jean-luc
Source
Cardiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
We hypothesized that the hemodynamic response to a deep inspiration maneuver (DIM) indicates fluid responsiveness in spontaneously breathing (SB) patients.
Design.
Prospective study.
Setting.
ICU of a general hospital.
Patients.
Consecutive nonintubated patients without mechanical ventilation, considered for volume expansion (VE).
Intervention.
We assessed hemodynamic status at baseline and after VE.
Measurements and Main Results.
We measured radial pulse pressure (PP) using an arterial catheter and peak velocity of femoral artery flow (VF) using continuous Doppler.
Changes in PP and VF induced by a DIM (ΔPPdim and ΔVFdim) were calculated in 23 patients.
ΔPPdim and ΔVFdim ≥12% predicted responders to VE with sensitivity of 90% and specificity of 100%.
Conclusions.
In a restricted population of SB patients with severe sepsis or acute pancreatitis, ΔPPdim and ΔVFdim are accurate indices for predicting fluid responsiveness.
These results should be confirmed in a larger population before validating their use in current practice.
American Psychological Association (APA)
Préau, Sébastien& Dewavrin, Florent& Soland, Vincent& Bortolotti, Perrine& Colling, Delphine& Chagnon, Jean-luc…[et al.]. 2011. Hemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients. Cardiology Research and Practice،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-453261
Modern Language Association (MLA)
Préau, Sébastien…[et al.]. Hemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients. Cardiology Research and Practice No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-453261
American Medical Association (AMA)
Préau, Sébastien& Dewavrin, Florent& Soland, Vincent& Bortolotti, Perrine& Colling, Delphine& Chagnon, Jean-luc…[et al.]. Hemodynamic Changes during a Deep Inspiration Maneuver Predict Fluid Responsiveness in Spontaneously Breathing Patients. Cardiology Research and Practice. 2011. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-453261
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453261