Change in cardiac output during Trendelenburg maneuver is a reliable predictor of fluid responsiveness in patients with acute respiratory distress syndrome in the prone position under protective ventilation.

ABSTRACT:

Background

Predicting fluid responsiveness may help to avoid unnecessary fluid administration during acute respiratory distress syndrome (ARDS). The aim of this study was to evaluate the diagnostic performance of the following methods to predict fluid responsiveness in ARDS patients under protective ventilation in the prone position: cardiac index variation during a Trendelenburg maneuver, cardiac index variation during an end-expiratory occlusion test, and both pulse pressure variation and change in pulse pressure variation from baseline during a tidal volume challenge by increasing tidal volume (VT) to 8 ml.kg^-1.

Methods

This study is a prospective single-center study, performed in a medical intensive care unit, on ARDS patients with acute circulatory failure in

SUBMITTER: Yonis H 

PROVIDER: S-EPMC5718075 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature