Critical care medicine
-
Critical care medicine · Aug 2011
Comparative StudyDynamic and volumetric variables of fluid responsiveness fail during immediate postresuscitation period.
Fluid therapy after resuscitation from cardiac arrest is challenging since both hypovolemia and fluid overload may cause circulatory failure. Therefore, prediction of fluid responsiveness is a major issue in optimizing hemodynamic therapy. The aim of the present study was to evaluate the performance of stroke volume variation, pulse pressure variation, variation of Doppler-derived velocity time integral, and global end-diastolic volume index to predict fluid responsiveness in the postcardiac arrest period. ⋯ Prediction of fluid responsiveness failed 1 hr after successful cardiopulmonary resuscitation from cardiac arrest. Four hours after return of spontaneous circulation, however, the variables pulse pressure variation, variation of the velocity time integral, and global end-diastolic volume index, but not stroke volume variation, enabled prediction of fluid responsiveness and may, therefore, be considered for subsequent hemodynamic optimization after successful cardiopulmonary resuscitation.
-
Critical care medicine · Aug 2011
Editorial Comment Comparative StudyWhat is the real role of statins in community-acquired pneumonia and sepsis?
-
Critical care medicine · Aug 2011
Comment Letter Comparative StudyProcalcitonin and pulmonary aspiration: another possible interpretation.