Prediction of volume responsiveness in critically ill patients with spontaneous breathing activity

Current Opinion in Critical Care

Volumn 14, Issue 3, 2008, Pages 334-339

  Teboul, Jean Louis ^a   Monnet, Xavier ^a  

^a BICÊTRE HOSPITAL   (France)

Author keywords

Passive leg raising; Spontaneous breathing; Volume responsiveness

Indexed keywords

AORTA FLOW; ARTERIAL PRESSURE; BLOOD FLOWMETRY; BREATHING; CENTRAL VENOUS PRESSURE; CRITICALLY ILL PATIENT; DOPPLER FLOWMETRY; FLUID THERAPY; FUNCTION TEST; HEART PRELOAD; HEART RIGHT ATRIUM PRESSURE; HEART STROKE VOLUME; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HEMODYNAMICS; HUMAN; PASSIVE LEG RAISING TEST; PREDICTION; PULMONARY ARTERY OCCLUSION PRESSURE; PULSE PRESSURE; REVIEW; TRANSTHORACIC ECHOCARDIOGRAPHY;

BLOOD VOLUME DETERMINATION; CRITICAL ILLNESS; FLUID THERAPY; HEMODYNAMICS; HUMANS; RESPIRATION; ROC CURVE;

EID: 43449086396     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e3282fd6e1e     Document Type: Review

References (26)

1. Rivers E, Nguyen B, Havstad S, et al. Early Goal-Directed Therapy Collaborative Group. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001; 345:1368-1377.
2. Dellinger RP, Levy MM, Carlet JM, et al., for the International Surviving Sepsis Campaign Guidelines Committee. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008; 36:296-327. Updating the original Surviving Sepsis Campaign clinical management guidelines by a Delphi method, those recommendations propose that the initial fluid resuscitation of sepsis should be conducted until achieving specific levels of CVP. Those levels have, however, been arbitrarily defined, and there are no published proofs of their validity.
3. Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients. A critical analysis of the evidence. Chest 2002; 121:2000-2008.
4. Coudray A, Romand JA, Treggiari M, et al. Fluid responsiveness in spontaneously breathing patients: a review of indexes used in intensive care. Crit Care Med 2005; 33:2757-2762.
5. Heenen S, De Backer D, Vincent JL. How can the response to volume expansion in patients with spontaneous respiratory movements be predicted? Crit Care 2006; 10:R102.
6. Osman D, Ridel C, Ray P, et al. Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge. Crit Care Med 2007; 35:64-68. This study reviewed 150 fluid challenges and reported that neither the CVP nor the PAOP were reliable predictors of fluid responsiveness in mechanically ventilated patients.
7. Soubrier S, Saulnier F, Hubert H, et al. Usefulness of dynamic indicators to predict fluid responsiveness in spontaneously breathing critically ill patients. Intensive Care Med 2007; 33:1117-1124. One of the three studies that demonstrated that the respiratory variation of arterial pressure cannot predict fluid responsiveness in patients with spontaneous breathing.
8. Monnet X, Teboul JL. Invasive measures of preload. Curr Opin Crit Care 2006; 12:235-240.
9. Kumar A, Anel R, Bunnell E, et al. Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects. Crit Care Med 2004; 32:691-699.
10. Lamia B, Ochagavia A, Monnet X, et al. Echocardiographic prediction of volume responsiveness in critically ill patients with spontaneously breathing activity. Intensive Care Med 2007; 33:1125-1132. Performed in 24 patients experiencing spontaneous breathing activity, this study confirmed the ability of PLR to predict fluid responsiveness. It demonstrated that measuring with echocardiography the changes in stroke volume was appropriate to assess the hemodynamic effects of the test. Interestingly, echocardiographic indicators of left ventricular preload were not reliable to predict fluid responsiveness.
11. Preisman S, Kogan S, Berkenstadt H, et al. Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation Test and static preload indicators. Br J Anaesth 2005; 95:746-755.
12. Teboul JL, Pinsky MR, Mercat A, et al. Estimating cardiac filling pressure in mechanically ventilated patients with hyperinflation. Crit Care Med 2000; 28:3631-3636.
13. Michard F, Teboul JL. Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation. Crit Care 2000; 4:282-289.
14. Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill. Crit Care Med 2006; 34:1402-1407.
15. Magder S, Georgiadis G, Cheong T. Respiratory variations in right atrial pressure predict the response to fluid challenge. J Crit Care 1992; 7:76-85.
16. Magder S, Lagonidis D. Effectiveness of albumin versus normal saline as a test of volume responsiveness in postcardiac surgery patients. J Crit Care 1999; 14:164-171.
17. Magder S. Predicting volume responsiveness in spontaneously breathing patients: still a challenging problem. Crit Care 2006; 10:165.
18. Boulain T, Achard JM, Teboul JL, et al. Changes in blood pressure induced by passive leg raising predict response to fluid loading in critically ill patients. Chest 2002; 121:1245-1252.
19. Paelinck BP, van Eck JW, De Hert SG, et al. Effects of postural changes on cardiac function in healthy subjects. Eur J Echocardiogr 2003; 4:196-201.
20. Monnet X, Teboul JL. Passive leg raising. Intensive Care Med 2008 [Epub ahead of print].
21. Antonelli M, Levy M, Andrews PJ, et al. Hemodynamic monitoring in shock and implications for management. International Consensus Conference, Paris, France, 27-28 April 2006. Intensive Care Med 2007; 33:575-590.
22. Maizel J, Airapetian N, Lorne E, et al. Diagnosis of central hypovolemia by using passive leg raising. Intensive Care Med 2007; 33:1133-1138. In this study performed in patients with full spontaneous breathing, the increase in stroke volume measured using echocardiography in response to passive leg raising predicted the hemodynamic response to fluid infusion.
23. Pinsky MR, Teboul JL. Assessment of indices of preload and volume responsiveness. Curr Opin Crit Care 2005; 11:235-239.
24. De Backer D, Pinsky MR. Can one predict fluid responsiveness in spontaneously breathing patients? Intensive Care Med 2007; 33:1111-1113.
25. De Backer D. Can passive leg raising be used to guide fluid administration? Crit Care 2006; 10:170.
26. Vincent JL, Weil MH. Fluid challenge revisited. Crit Care Med 2006; 34:1333-1337.