| ||||||||||||||
|
|
|||||||||||||


*Departments of Anesthesiology and Intensive Care, Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel Hashomer, Israel; and
Hôpital de la Pitié-Salpétrière, Université Pierre et Marie Curie, Paris VI, France
Address correspondence to Azriel Perel, MD, Anesthesiology and Intensive Care, Sheba Medical Center, Tel Hashomer, 52621, Isreael. Address e-mail to perelao{at}shani.net.
Respiratory-induced changes in arterial blood pressure predict fluid responsiveness. However, the accuracy of these variables is affected by the preset tidal volume and by the early inspiratory increase in arterial blood pressure. We have therefore calculated the slope produced by the minimal systolic blood pressures (plotted against the respective airway pressures) during a ventilatory maneuver consisting of four incremental, successive, pressure-controlled breaths, termed the Respiratory Systolic Variation Test (RSVT). In 14 ventilated patients, after major vascular surgery, the slope of the RSVT decreased significantly after intravascular fluid administration and correlated with the end-diastolic area and with changes in cardiac output better than filling pressures. This preliminary study suggests that a standardized ventilatory maneuver may be useful in guiding fluid therapy in ventilated patients.
This article has been cited by other articles:
![]() |
M. Cannesson, O. Desebbe, P. Rosamel, B. Delannoy, J. Robin, O. Bastien, and J.-J. Lehot Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre Br. J. Anaesth., August 1, 2008; 101(2): 200 - 206. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. E. Marik, M. Baram, and B. Vahid Does Central Venous Pressure Predict Fluid Responsiveness?: A Systematic Review of the Literature and the Tale of Seven Mares Chest, July 1, 2008; 134(1): 172 - 178. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. B. Borges, V. N. Okamoto, G. F. J. Matos, M. P. R. Caramez, P. R. Arantes, F. Barros, C. E. Souza, J. A. Victorino, R. M. Kacmarek, C. S. V. Barbas, et al. Reversibility of Lung Collapse and Hypoxemia in Early Acute Respiratory Distress Syndrome Am. J. Respir. Crit. Care Med., August 1, 2006; 174(3): 268 - 278. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Charron, C. Fessenmeyer, C. Cosson, J.-X. Mazoit, J.-L. Hebert, D. Benhamou, and A. R. Edouard The Influence of Tidal Volume on the Dynamic Variables of Fluid Responsiveness in Critically Ill Patients. Anesth. Analg., May 1, 2006; 102(5): 1511 - 1517. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Preisman, S. Kogan, H. Berkenstadt, and A. Perel Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation Test and static preload indicators Br. J. Anaesth., December 1, 2005; 95(6): 746 - 755. [Abstract] [Full Text] [PDF] |
||||
|