Methods of assessing fluid responsiveness in septic shock patients: a narrative review
A growing body of evidence shows that some septic patients experience fluid overload, which leads to an increased number of serious complications and death. This is because the majority of septic patients are fluid non-responders. Therefore, a reliable distinction of which patient would benefit from...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2022-04-01
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| Series: | Anaesthesiology Intensive Therapy |
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| Online Access: | https://www.termedia.pl/Methods-of-assessing-fluid-responsiveness-in-septic-shock-patients-a-narrative-review,118,46844,1,1.html |
| _version_ | 1817983887695937536 |
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| author | Wojciech Weigl Jan Adamski Dariusz Onichimowski Piotr Nowakowski Bodo Wagner |
| author_facet | Wojciech Weigl Jan Adamski Dariusz Onichimowski Piotr Nowakowski Bodo Wagner |
| author_sort | Wojciech Weigl |
| collection | DOAJ |
| description | A growing body of evidence shows that some septic patients experience fluid overload, which leads to an increased number of serious complications and death. This is because the majority of septic patients are fluid non-responders. Therefore, a reliable distinction of which patient would benefit from fluid boluses is crucial in current sepsis management. Several methods used to assess fluid responsiveness have been developed. The principle of “dynamic” measurements (in contrast to static indices such as central venous pressure) involves the induction of a change in cardiac preload and the measurement of its effect on stroke volume.
Dynamic methods are based on either heart-lung interaction during mechanical ventilation or on an assessment of change in cardiac stroke volume in response to fluid provocative stimuli such as rapid fluid administration, passive leg raising, or the end-expiratory occlusion test. Most dynamic measurements are easy to perform and interpret as well as being available at the bedside. However, they vary in their invasiveness, difficulty in performance, reliability, and limitations.
In this study, we provide an overview of various methods for assessing fluid responsiveness and indicate those that potentially lead to haemodynamically guided fluid restrictive treatment that would prevent fluid overload in septic patients. |
| first_indexed | 2024-04-13T23:38:38Z |
| format | Article |
| id | doaj.art-13823eb3add246a1ad5da7b7341a19c9 |
| institution | Directory Open Access Journal |
| issn | 1642-5758 1731-2531 |
| language | English |
| last_indexed | 2024-04-13T23:38:38Z |
| publishDate | 2022-04-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Anaesthesiology Intensive Therapy |
| spelling | doaj.art-13823eb3add246a1ad5da7b7341a19c92022-12-22T02:24:37ZengTermedia Publishing HouseAnaesthesiology Intensive Therapy1642-57581731-25312022-04-0154217518310.5114/ait.2022.11536846844Methods of assessing fluid responsiveness in septic shock patients: a narrative reviewWojciech WeiglJan AdamskiDariusz OnichimowskiPiotr NowakowskiBodo WagnerA growing body of evidence shows that some septic patients experience fluid overload, which leads to an increased number of serious complications and death. This is because the majority of septic patients are fluid non-responders. Therefore, a reliable distinction of which patient would benefit from fluid boluses is crucial in current sepsis management. Several methods used to assess fluid responsiveness have been developed. The principle of “dynamic” measurements (in contrast to static indices such as central venous pressure) involves the induction of a change in cardiac preload and the measurement of its effect on stroke volume. Dynamic methods are based on either heart-lung interaction during mechanical ventilation or on an assessment of change in cardiac stroke volume in response to fluid provocative stimuli such as rapid fluid administration, passive leg raising, or the end-expiratory occlusion test. Most dynamic measurements are easy to perform and interpret as well as being available at the bedside. However, they vary in their invasiveness, difficulty in performance, reliability, and limitations. In this study, we provide an overview of various methods for assessing fluid responsiveness and indicate those that potentially lead to haemodynamically guided fluid restrictive treatment that would prevent fluid overload in septic patients.https://www.termedia.pl/Methods-of-assessing-fluid-responsiveness-in-septic-shock-patients-a-narrative-review,118,46844,1,1.htmlsepsis haemodynamic monitoring stroke volume cardiac output fluid challenge. |
| spellingShingle | Wojciech Weigl Jan Adamski Dariusz Onichimowski Piotr Nowakowski Bodo Wagner Methods of assessing fluid responsiveness in septic shock patients: a narrative review Anaesthesiology Intensive Therapy sepsis haemodynamic monitoring stroke volume cardiac output fluid challenge. |
| title | Methods of assessing fluid responsiveness in septic shock patients: a narrative review |
| title_full | Methods of assessing fluid responsiveness in septic shock patients: a narrative review |
| title_fullStr | Methods of assessing fluid responsiveness in septic shock patients: a narrative review |
| title_full_unstemmed | Methods of assessing fluid responsiveness in septic shock patients: a narrative review |
| title_short | Methods of assessing fluid responsiveness in septic shock patients: a narrative review |
| title_sort | methods of assessing fluid responsiveness in septic shock patients a narrative review |
| topic | sepsis haemodynamic monitoring stroke volume cardiac output fluid challenge. |
| url | https://www.termedia.pl/Methods-of-assessing-fluid-responsiveness-in-septic-shock-patients-a-narrative-review,118,46844,1,1.html |
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