Respuesta a fluidos

The assessment of fluid responsiveness in haemodynamically unstable patients

Critical Care Practitioner - By Downham J - November 25, 2015

"Following are two reviews of studies employing the passive leg raise, combined with a form of stroke volume monitoring to predict fluid responsiveness. The reviews use CASP diagnostic tool as the appraisal format.

The bottom line

• Half of patients who have signs of haemodynamic compromise will not be fluid responsive.
• Measuring the difference in stroke volume or cardiac before and after a passive leg raise is a highly sensitive and specific test of fluid responsiveness.
• The mode of cardiac output monitoring probably does not matter as it is the percentage change that is important rather than a specific number."

http://linkis.com/jonathandownham.com/04vLo

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