Anest. intenziv. Med. 2017;28(1):12-22

Prediction of fluid responsivenessIntesive Care Medicine - Review Article

J. Beneš
Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice a Lékařská fakulta v Plzni, Univerzita Karlova v Praze

Assessment of fluid responsiveness is a very important component of fluid therapy in the anaesthetized and critically ill patients. Using a broad spectrum of different tests allows the assessment of the impact of preload change on the central hemodynamics prior to the actual fluid infusion, which may help deliver individiual patient-centered fluid therapy and decrease the risks associated with fluid overload. This review article is a printed supplement and explanation of the electronic Smart Card issued for better understanding of the issue of fluid responsiveness.

Keywords: fluid responsiveness; infusion therapy; fluid challenge; heart-lung interaction

Received: August 2, 2016; Accepted: August 28, 2016; Published: February 1, 2017  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Beneš J. Prediction of fluid responsiveness. Anest. intenziv. Med. 2017;28(1):12-22.
Download citation

References

  1. Benes, J. Tekutinová terapie v intenzivní péči. Anest. Intenziv. Med., 2016, 27, 2, p. 107-115.
  2. Neyra, J. A., Li, X., Canepa-Escaro, F., Adams-Huet, B., Toto, R. D., Yee, J. et al. Cumulative Fluid Balance and Mortality in Septic Patients With or Without Acute Kidney Injury and Chronic Kidney Disease. Crit. Care Med., 2016. Go to original source...
  3. Wang, N., Jiang, L., Zhu, B., Wen, Y., Xi, X. M. Beijing Acute Kidney Injury Trial (BAKIT) Workgroup, et al. Fluid balance and mortality in critically ill patients with acute kidney injury: a multicenter prospective epidemiological study. Crit. Care, 2015, 19, p. 371. Go to original source... Go to PubMed...
  4. Acheampong, A., Vincent, J. L. A positive fluid balance is an independent prognostic factor in patients with sepsis. Crit. Care, 2015, 19, p. 251. Go to original source... Go to PubMed...
  5. Pinsky, M. R., Payen, D. Functional hemodynamic monitoring. Crit. Care, 2005, 9, 6, p. 566-572. Go to original source...
  6. Benes, J., Kirov, M., Kuzkov, V., Lainscak, M., Molnar, Z., Voga, G. et al. Fluid Therapy: Double-Edged Sword during Critical Care? BioMed Research International, 2015, 2015, 2, p. 1-14. Go to original source... Go to PubMed...
  7. Marik, P. E. Hemodynamic parameters to guide fluid therapy. Transfusion Alter Transfusion Med., 2010, 11, 3, p. 102-112. Go to original source...
  8. Marik, P., Bellomo, R. A rational approach to fluid therapy in sepsis. Br. J. Anaesth., 2015. Go to PubMed...
  9. Henderson, W. R., Griesdale, D. E. G., Walley, K. R., Sheel, A. W. Clinical review: Guyton - the role of mean circulatory filling pressure and right atrial pressure in controlling cardiac output. Harv. Mens Health. Watch, 2010, 14, 6, p. 243. Go to original source... Go to PubMed...
  10. Simmons, D., Linde, L., Miller, J. H., O'Reilly, R. J. Relation between lung volume and pulmonary vascular resistance. Circ. Res., 1961, 9, 3, p. 465-471. Go to original source...
  11. Peták, F., Albu, G., Lele, E., Hantos, Z., Morel, D. R., Fontao, F. et al. Lung mechanical and vascular changes during positive- and negative-pressure lung inflations: importance of reference pressures in the pulmonary vasculature. J. Appl. Physiol., 2009, 106, 3, p. 935-942. Go to original source... Go to PubMed...
  12. Creamer, K. M., McCloud, L. L., Fisher, L. E., Ehrhart, I. C. Ventilation above closing volume reduces pulmonary vascular resistance hysteresis. Am. J. Respir. Crit. Care Med., 1998, 158, 4, p. 1114-1119. Go to original source... Go to PubMed...
  13. Cannesson, M., Aboy, M., Hofer, C. K., Rehman, M. Pulse pres-sure variation: where are we today? J. Clin. Monit. Comput., 2011, 25, 1, p. 45-56. Go to original source... Go to PubMed...
  14. Monnet, X., Marik, P., Teboul, J. L. Passive leg raising for predicting fluid responsiveness: a systematic review and meta-analysis. Int. Care Med., 2016. Go to original source...
  15. Cherpanath, T. G. V., Hirsch, A., Geerts, B. F., Lagrand, W. K., Leeflang, M. M., Schultz, M. J. et al. Predicting Fluid Responsiveness by Passive Leg Raising: A Systematic Review and Meta-Analysis of 23 Clinical Trials. Crit. Care Med., 2016, 44, 5, p. 981-991. Go to original source... Go to PubMed...
  16. Marik, P. E., Cavallazzi, R., Vasu, T., Hirani, A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit. Care Med., 2009, 37, 9, p. 2642-2647. Go to original source... Go to PubMed...
  17. Zhang, Z., Lu, B., Sheng, X., Jin, N. Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis. J. Anesth., 2011, 25, 6, p. 904-916. Go to original source... Go to PubMed...
  18. Sandroni, C., Cavallaro, F., Marano, C., Falcone, C., Santis, P., Antonelli, M. et al. Accuracy of plethysmographic indices as predictors of fluid responsiveness in mechanically ventilated adults: a systematic review and meta-analysis. Intensive Care Med., 2012, 38, 9, p. 1429-1437. Go to original source... Go to PubMed...
  19. Silva, S., Jozwiak, M., Teboul, J. L., Persichini, R., Richard, C., Monnet, X. et al. End-expiratory occlusion test predicts pre-load responsiveness independently of positive end-expiratory pres-sure during acute respiratory distress syndrome. Crit. Care Med., 2013, 41, 7, p. 1692-1701. Go to original source... Go to PubMed...
  20. Guinot, P. G., Godart, J., de Broca, B., Bernard, E., Lorne, E., Dupont, H. et al. End-expiratory occlusion manoeuvre does not accurately predict fluid responsiveness in the operating theatre. Br. J. Anaesth., 2014, 112, 6, p. 1050-1054. Go to original source... Go to PubMed...
  21. Monnet, X., Osman, D., Ridel, C., Lamia, B., Richard, C., Teboul, J. L. et al. Predicting volume responsiveness by using the end-expiratory occlusion in mechanically ventilated intensive care unit patients. Crit. Care Med., 2009, 37, 3, p. 951-956. Go to original source... Go to PubMed...
  22. Barbier, C., Loubières, Y., Schmit, C., Hayon, J., Ricôme, J. L., Jardin, F. et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med., 2004, 30, 9, p. 1740-1746. Go to original source... Go to PubMed...
  23. Muller, L., Bobbia, X., Toumi, M., Louart, G., Molinari, N., Ragonnet, B. et al. Respiratory variations of inferior venacava diameter to predict fluid responsiveness in spontaneouslybreathing patients with acute circulatory failure: need for a cautious use. Crit. Care, 2012, 16, 5, p. R188. Go to original source... Go to PubMed...
  24. Machare-Delgado, E., Decaro, M., Marik, P. E. Inferior vena cava variation compared to pulse contour analysis as predictors of fluid responsiveness: a prospective cohort study. J. Intensive Care Med., 2011, 26, 2, p. 116-124. Go to original source... Go to PubMed...
  25. Lanspa, M. J., Grissom, C. K., Hirshberg, E. L., Jones, J. P., Brown, S. M. Applying dynamic parameters to predict hemodynamic response to volume expansion in spontaneously breathing patients with septic shock. Shock, 2013, 39, 2, p. 155-160. Go to original source... Go to PubMed...
  26. Airapetian, N., Maizel, J., Alyamani, O., Mahjoub, Y., Lorne, E., Levrard, M. et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing pa-tients? Crit. Care, 2015, 19, 1, p. 400. Go to original source... Go to PubMed...
  27. Lee, J. H., Kim, J. T., Yoon, S. Z., Lim, Y. J., Jeon, Y., Bahk, J. H. et al. Evaluation of corrected flow time in oesophageal Doppler as a predictor of fluid responsiveness. Br. J. Anaesth., 2007, 99, 3, p. 343-348. Go to original source... Go to PubMed...
  28. Monge García, M. I., Gil Cano, A., Gracia Romero, M., Monterroso Pintado, R., Pérez Madueño, V., Díaz Monrové, J. C. et al. Non-invasive assessment of fluid responsiveness by changes in partial end-tidal CO2 pressure during a passive leg-raising maneuver. Annals of intensive care, 2012, 2, p. 9. Go to original source... Go to PubMed...
  29. Marik, P. E., Cavallazzi, R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit. Care Med., 2013, 41, 7, p. 1774-1781. Go to original source... Go to PubMed...
  30. Eskesen, T. G., Wetterslev, M., Perner, A. Systematic review including re-analyses of 1148 individual data sets of central venous pressure as a predictor of fluid responsiveness. Intensive Care Med., 2016, 42, 3, p. 324-332. Go to original source... Go to PubMed...
  31. Magder, S. Central venous pressure: A useful but not so simple measurement. Crit. Care Med., 2006, 34, 8, p. 2224-2227. Go to original source... Go to PubMed...
  32. Marik, P. E. Iatrogenic salt water drowning and the hazards of a high central venous pressure. Annals of intensive care, 2014, 4, p. 21. Go to original source... Go to PubMed...
  33. Goepfert, M. S., Richter, H. P., Zu Eulenburg, C., Gruetzmacher, J., Rafflenbeul, E., Roeher, K. et al. Individually optimized hemodynamic therapy reduces complications and length of stay in the intensive care unit: a prospective, randomized controlled trial. Anesthesiology, 2013, 119, 4, p. 824-836. Go to original source... Go to PubMed...
  34. Marik, P. E., Monnet, X., Teboul, J. L. Hemodynamic parameters to guide fluid therapy. Annals of intensive care, 2011, 1, 1, p. 1. Go to original source... Go to PubMed...
  35. Marik, P. E., Levitov, A., Young, A., Andrews, L. The use of bioreactance and carotid Doppler to determine volume responsiveness and blood flow redistribution following passive leg raising in hemodynamically unstable patients. Chest, 2013, 143, 2, p. 364-370. Go to original source... Go to PubMed...
  36. Perel, A., Pizov, R., Cotev, S. Systolic blood pressure varia-tion is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage. Anesthesiology, 1987, 67, 4, p. 498-502. Go to original source... Go to PubMed...
  37. Cannesson, M., Le Manach, Y., Hofer, C., Goarin, J., Lehot, J., Vallet, B. et al. Assessing the diagnostic accuracy of pulse pressure variations for the prediction of fluid responsiveness: a "gray zone" approach. Anesthesiology, 2011, 115, 2, p. 231-241. Go to original source... Go to PubMed...
  38. Michard, F. Stroke volume variation: from applied physiology to improved outcomes. Crit. Care Med., 2011, 39, 2, p. 402-403. Go to original source... Go to PubMed...
  39. Kubitz, J. C., Annecke, T., Kemming, G. I., Forkl, S., Kronas, N., Goetz, A. E. et al. The influence of positive end-expiratory pressure on stroke volume variation and central blood volume during open and closed chest conditions. Eur. J. Cardiothorac. Surg., 2006, 30, 1, p. 90-95. Go to original source... Go to PubMed...
  40. Backer, D., Heenen, S., Piagnerelli, M., Koch, M., Vincent, J. L. Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Med., 2005, 31, 4, p. 517-523. Go to original source... Go to PubMed...
  41. Cannesson, M., Tran, N. P., Cho, M., Hatib, F., Michard, F. Predicting fluid responsiveness with stroke volume variation despite multiple extrasystoles. Crit. Care Med., 2012, 40, 1, p. 193-198. Go to original source... Go to PubMed...
  42. Umgelter, A., Reindl, W., Schmid, R. M., Huber, W. Is supra-ventricular arrhythmia a reason for the bad performance of the FlowTrac device? Crit. Care, 2007, 11, 1, p. 406, author reply 406. Go to original source... Go to PubMed...
  43. De Backer, D., Taccone, F. S., Holsten, R., Ibrahimi, F., Vincent, J. L. Influence of respiratory rate on stroke volume variation in mechanically ventilated patients. Anesthesiology, 2009, 110, 5, p. 1092-1097. Go to original source... Go to PubMed...
  44. Daudel, F., Tüller, D., Krähenbühl, S., Jakob, S. M., Takala, J. Pulse pressure variation and volume responsiveness during acutely increased pulmonary artery pressure: an experimental study. Crit. Care, 2010, 14, 3, p. R122. Go to original source... Go to PubMed...
  45. Wyler von Ballmoos, M., Takala, J., Roeck, M., Porta, F., Tueller, D., Ganter, C. C. et al. Pulse-pressure variation and hemodynamic response in patients with elevated pulmonary artery pressure: a clinical study. Crit. Care, 2010, 14, 3, p. R111. Go to original source... Go to PubMed...
  46. Duperret, S., Lhuillier, F., Piriou, V., Vivier, E., Metton, O., Branche, P. et al. Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs. Intensive Care Med., 2007, 33, 1, p. 163-171. Go to original source... Go to PubMed...
  47. Renner, J., Gruenewald, M., Quaden, R., Hanss, R., Meybohm, P., Steinfath, M. et al. Influence of increased intra-abdominal pres-sure on fluid responsiveness predicted by pulse pressure varia-tion and stroke volume variation in a porcine model. Crit. Care Med., 2009, 37, 2, p. 650-658. Go to original source... Go to PubMed...
  48. Liu, X., Fu, Q., Mi, W., Liu, H., Zhang, H., Wang, P. et al. Pulse pressure variation and stroke volume variation predict fluid responsiveness in mechanically ventilated patients experiencing intra-abdominal hypertension. Bioscience trends, 2013, 7, 2, p. 101-108. Go to original source... Go to PubMed...
  49. Kubitz, J. C., Forkl, S., Annecke, T., Kronas, N., Goetz, A. E., Reuter, D. A. et al. Systolic pressure variation and pulse pressure variation during modifications of arterial pressure. Intensive Care Med., 2008, 34, 8, p. 1520-1524. Go to original source... Go to PubMed...
  50. Kubitz, J. C., Annecke, T., Forkl, S., Kemming, G. I., Kronas, N., Goetz, A. E. et al. Validation of pulse contour derived stroke volume variation during modifications of cardiac afterload. Br. J. Anaesth., 2007, 98, 5, p. 591-597. Go to original source... Go to PubMed...
  51. Lahner, D., Kabon, B., Marschalek, C., Chiari, A., Pestel, G., Kaider, A. et al. Evaluation of stroke volume variation obtained by arterial pulse contour analysis to predict fluid responsiveness intraoperatively. Br. J. Anaesth., 2009, 103, 3, p. 346-351. Go to original source... Go to PubMed...
  52. Perel, A. Automated assessment of fluid responsiveness in mechanically ventilated patients. Anesth. Analg., 2008, 106, 4, p. 1031-1033. Go to original source... Go to PubMed...
  53. Benes, J., Zatloukal, J., Kletecka, J., Simanova, A., Haidingerova, L., Pradl, R. et al. Respiratory induced dynamic variations of stroke volume and its surrogates as predictors of fluid responsiveness: applicability in the early stages of specific critical states. J. Clin. Monit. Comput., 2014, 28, 3, p. 225-231. Go to original source... Go to PubMed...
  54. Mahjoub, Y., Lejeune, V., Muller, L., Perbet, S., Zieleskiewicz, L., Bart, F. et al. Evaluation of pulse pressure variation validity criteria in critically ill patients: a prospective observational multicentre point-prevalence study. Br. J. Anaesth., 2014, 112, 4, p. 681-685. Go to original source... Go to PubMed...
  55. Monnet, X., Rienzo, M., Osman, D., Anguel, N., Richard, C., Pinsky, M. R. et al. Passive leg raising predicts fluid responsiveness in the critically ill. Crit. Care Med., 2006, 34, 5, p. 1402-1407. Go to original source... Go to PubMed...
  56. Wilkman, E., Kuitunen, A., Pettilä, V., Varpula, M. Fluid responsiveness predicted by elevation of PEEP in patients with septic shock. Acta Anaesthesiol. Scand., 2014, 58, 1, p. 27-35. Go to original source... Go to PubMed...
  57. Messina, A., Colombo, D., Romagnoli, S., Bonicolini, E., De Mattei, G., Longhini, F. et al. The mini-sigh test: a new haemodynamic test of fluid responsiveness in ICU patients undergoing pressure support ventilation. Intens. Care Med. Exp., 2015, 3, Suppl. 1, p. A17. Go to original source...
  58. Via, G., Tavazzi, G., Price, S. Ten situations where inferior vena cava ultrasound may fail to accurately predict fluid responsiveness: a physiologically based point of view. Intensive Care Med., 2016, 42, 7, p. 1164-1167. Go to original source... Go to PubMed...
  59. Monnet, X., Teboul, J. L. Passive leg raising: five rules, not a drop of fluid! Crit. Care, 2015, 19, p. 18. Go to original source... Go to PubMed...
  60. Malbrain, M. L. N. G., Reuter, D. A. Assessing fluid responsiveness with the passive leg raising maneuver in patients with increased intra-abdominal pressure: be aware that not all blood returns! Crit. Care Med., 2010, 38, 9, p. 1912-1915. Go to original source... Go to PubMed...
  61. Muller, L., Toumi, M., Bousquet, P. J., Riu-Poulenc, B., Louart, G., Candela, D. et al. An increase in aortic blood flow after an infusion of 100 ml colloid over 1 minute can predict fluid responsiveness: the mini-fluid challenge study. Anesthesiology, 2011, 115, 3, p. 541-547. Go to original source... Go to PubMed...
  62. Mallat, J., Meddour, M., Durville, E., Lemyze, M., Pepy, F., Temime, J. et al. Decrease in pulse pressure and stroke volume variations after mini-fluid challenge accurately predicts fluid responsiveness. Br. J. Anaesth., 2015, 115, 3, p. 449-456. Go to original source... Go to PubMed...
  63. Guinot, P. G., Bernard, E., Deleporte, K., Petiot, S., Dupont, H., Lorne, E. et al. Mini-fluid challenge can predict arterial pres-sure response to volume expansion in spontaneously breathing patients under spinal anaesthesia. Anaesthesia, critical care & pain medicine, 2015, 34, 6, p. 333-337. Go to original source... Go to PubMed...
  64. Cecconi, M., Hofer, C., Teboul, J. L., Pettila, V., Wilkman, E., Molnar, Z. et al. Fluid challenges in intensive care: the FENICE study: A global inception cohort study. Intensive Care Med., 2015, 41, 9, p. 1529-1537. Go to original source... Go to PubMed...
  65. Hahn, R. G. Why are crystalloid and colloid fluid requirements similar during surgery and intensive care? Eur. J. Anaesthesiol., 2013, 30, 9, p. 515-518. Go to original source... Go to PubMed...
  66. Young, A., Marik, P. E., Sibole, S., Grooms, D., Levitov, A. Changes in end-tidal carbon dioxide and volumetric carbon dioxide as predictors of volume responsiveness in hemodynamically unstable patients. J. Cardiothorac. Vasc. Anesth., 2013, 27, 4, p. 681-684. Go to original source... Go to PubMed...




Anesteziologie a intenzivní medicína

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.