Assessment Of Fluid Responsiveness

CE: Tripti; MCC/240310; Total nos of Pages: 6; MCC 240310 REVIEW CURRENT OPINION Assessment of fluid responsiveness: recent advances Xavier Monnet a and Jean-Louis Teboul b Purpose of review In the field of prediction of fluid responsiveness, the most... More

CE: Tripti; MCC/240310; Total nos of Pages: 6; MCC 240310 REVIEW CURRENT OPINION Assessment of fluid responsiveness: recent advances Xavier Monnet a and Jean-Louis Teboul b Purpose of review In the field of prediction of fluid responsiveness, the most recent studies have focused on validating new tests, on clarifying the limitations of older ones, and better defining their modalities. Recent findings The limitations of pulse pressure/stroke volume variations are numerous, but recent efforts have been made to overcome these limitations, like in case of low tidal volume ventilation. Following pulse pressure/stroke volume variations, new tests have emerged which assess preload responsiveness by challenging cardiac preload through heart–lung interactions, like during recruitment manoeuvres and end-expiratory/inspiratory occlusions. Given the risk of fluid overload that is inherent to the ‘classical’ fluid challenge, a ‘mini’ fluid challenge, made of 100 ml of fluid only, has been developed Less