Slope analysis for the prediction of fluid responsiveness by a stepwise PEEP elevation recruitment maneuver in mechanically ventilated patients.

ABSTRACT:

Objective

Assessment of fluid responsiveness is problematic in intensive care unit patients. Lung recruitment maneuvers (LRM) can be used as a functional test to predict fluid responsiveness. We propose a new test to predict fluid responsiveness in mechanically ventilated patients by analyzing the variations in central venous pressure (CVP) and systemic arterial parameters during a prolonged sigh breath LRM without the use of a cardiac output measuring device.

Design

Prospective observational cohort study.

Setting

Intensive Care Unit, Saint-Etienne University Central Hospital.

Patients

Patients under mechanical ventilation, equipped with invasive arterial blood pressure, CVP, pulse contour analysis (PICCO™), requiring volume expansion, with no right ventricular

SUBMITTER: Vallier S 

PROVIDER: S-EPMC8722149 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature