Best Practice & Research Clinical Anaesthesiology
Volume 23, Issue 2 , Pages 159-171 , June 2009

Monitoring fluid therapy

  • Jochen Renner, MD (Staff Anaesthetist)

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +49 431597 3739; Fax: +49 431597 3002.
  • ,
  • Jens Scholz, MD (Professor of Anaesthesiology and Chair)
  • ,
  • Berthold Bein, MD, DEEA (Associate Professor of Anaesthesiology)

References 

  1. Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest. 2002;121:2000–2008
  2. Charron C, Fessenmeyer C, Cosson C, et al. The influence of tidal volume on the dynamic variables of fluid responsiveness in critically ill patients. Anesthesia and Analgesia. 2006;102:1511–1517
  3. Greim CA, Roewer N, Laux G, et al. Transesophageal echocardiography for determining left-ventricular end-diastolic myocardial tension, Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS. 1994;29:475–480
  4. Lamia B, Ochagavia A, Monnet X, et al. Echocardiographic prediction of volume responsiveness in critically ill patients with spontaneously breathing activity. Intensive Care Medicine. 2007;33:1125–1132
  5. Renner J, Gruenewald M, Brand P, et al. Global end-diastolic volume as a variable of fluid responsiveness during acute changing loading conditions. Journal of Cardiothoracic and Vascular Anesthesia. 2007;21:650–654
  6. Terai C, Uenishi M, Sugimoto H, et al. Transesophageal echocardiographic dimensional analysis of four cardiac chambers during positive end-expiratory pressure. Anesthesiology. 1985;63:640–646
  7. Tousignant CP, Walsh F, Mazer CD. The use of transesophageal echocardiography for preload assessment in critically ill patients. Anesthesia and Analgesia. 2000;90:351–355
  8. van Daele ME, Trouwborst A, van Woerkens LC, et al. Transesophageal echocardiographic monitoring of preoperative acute hypervolemic hemodilution. Anesthesiology. 1994;81:602–609
  9. Berkenstadt H, Friedman Z, Preisman S, et al. Pulse pressure and stroke volume variations during severe haemorrhage in ventilated dogs. British Journal of Anaesthesia. 2005;94:721–726
  10. Berkenstadt H, Margalit N, Hadani M, et al. Stroke volume variation as a predictor of fluid responsiveness in patients undergoing brain surgery. Anesthesia and Analgesia. 2001;92:984–989
  11. Cannesson M, Attof Y, Rosamel P, et al. Respiratory variations in pulse oximetry plethysmographic waveform amplitude to predict fluid responsiveness in the operating room. Anesthesiology. 2007;106:1105–1111
  12. De Backer D, Heenen S, Piagnerelli M, et al. Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Medicine. 2005;31:517–523
  13. Magder S. Clinical usefulness of respiratory variations in arterial pressure. American Journal of Respiratory and Critical Care Medicine. 2004;169:151–155
  14. Renner J, Cavus E, Meybohm P, et al. Pulse pressure variation and stroke volume variation during different loading conditions in a paediatric animal model. Acta Anaesthesiologica Scandinavica. 2008;52:374–380
  15. Reuter DA, Felbinger TW, Schmidt C, et al. Stroke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery. Intensive Care Medicine. 2002;28:392–398
  16. Tavernier B, Makhotine O, Lebuffe G, et al. Systolic pressure variation as a guide to fluid therapy in patients with sepsis-induced hypotension. Anesthesiology. 1998;89:1313–1321
  17. Vincent JL, Weil MH. Fluid challenge revisited. Critical Care Medicine. 2006;34:1333–1337
  18. Calvin JE, Driedger AA, Sibbald WJ. The hemodynamic effect of rapid fluid infusion in critically ill patients. Surgery. 1981;90:61–76
  19. Kumar A, Anel R, Bunnell E, et al. Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects. Critical Care Medicine. 2004;32:691–699
  20. Bendjelid K, Romand JA. Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care. Intensive Care Medicine. 2003;29:352–360
  21. Coudray A, Romand JA, Treggiari M, Bendjelid K. Fluid responsiveness in spontaneously breathing patients: a review of indexes used in intensive care. Critical Care Medicine. 2005;33:2757–2762
  22. Michard F, Teboul JL. Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation. Critical Care. 2000;4:282–289
  23. Osman D, Ridel C, Ray P, et al. Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge. Critical Care Medicine. 2007;35:64–68
  24. Hollenberg SM, Ahrens TS, Annane D, et al. Practice parameters for hemodynamic support of sepsis in adult patients: 2004 update. Critical Care Medicine. 2004;32:1928–1948
  25. Raper R, Sibbald WJ. Misled by the wedge? The Swan-Ganz catheter and left ventricular preload. Chest. 1986;89:427–434
  26. Pinsky MR. Clinical significance of pulmonary artery occlusion pressure. Intensive Care Medicine. 2003;29:175–178
  27. Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134:172–178
  28. Shanewise JS, Cheung AT, Aronson S, et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Journal of the American Society of Echocardiography. 1999;12:884–900
  29. Cheung AT, Savino JS, Weiss SJ, et al. Echocardiographic and hemodynamic indexes of left ventricular preload in patients with normal and abnormal ventricular function. Anesthesiology. 1994;81:376–387
  30. Dalibon N, Schlumberger S, Saada M, et al. Haemodynamic assessment of hypovolaemia under general anaesthesia in pigs submitted to graded haemorrhage and retransfusion. British Journal of Anaesthesia. 1999;82:97–103
  31. Jardin F, Valtier B, Beauchet A, et al. Invasive monitoring combined with two-dimensional echocardiographic study in septic shock. Intensive Care Medicine. 1994;20:550–554
  32. Reich DL, Konstadt SN, Nejat M, et al. Intraoperative transesophageal echocardiography for the detection of cardiac preload changes induced by transfusion and phlebotomy in pediatric patients. Anesthesiology. 1993;79:10–15
  33. Tuchy GL, Gabriel A, Muller C, et al. Titrating the preload by using the rapid infusion system: use of echocardiography during orthotopic liver transplantation. Transplantation Proceedings. 1993;25:1858–1860
  34. Feissel M, Michard F, Mangin I, et al. Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock. Chest. 2001;119:867–873
  35. Thys DM. Training, certification, and credentialing in transesophageal echocardiography. Journal of Cardiothoracic and Vascular Anesthesia. 1996;10:309–310
  36. Goedje O, Hoeke K, Lichtwarck-Aschoff M, et al. Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: comparison with pulmonary arterial thermodilution. Critical Care Medicine. 1999;27:2407–2412
  37. Cecchetti C, Stoppa F, Vanacore N, et al. Monitoring of intrathoracic volemia and cardiac output in critically ill children. Minerva Anestesiologica. 2003;69:907–918
  38. Hoeft A, Schorn B, Weyland A, et al. Bedside assessment of intravascular volume status in patients undergoing coronary bypass surgery. Anesthesiology. 1994;81:76–86
  39. Lichtwarck-Aschoff M, Beale R, Pfeiffer UJ. Central venous pressure, pulmonary artery occlusion pressure, intrathoracic blood volume, and right ventricular end-diastolic volume as indicators of cardiac preload. Journal of Critical Care. 1996;11:180–188
  40. Renner J, Meybohm P, Gruenewald M, et al. Global end-diastolic volume during different loading conditions in a pediatric animal model. Anesthesia and Analgesia. 2007;105:1243–1249
  41. Sakka SG, Bredle DL, Reinhart K, Meier-Hellmann A. Comparison between intrathoracic blood volume and cardiac filling pressures in the early phase of hemodynamic instability of patients with sepsis or septic shock. Journal of Critical Care. 1999;14:78–83
  42. Buhre W, Buhre K, Kazmaier S, et al. Assessment of cardiac preload by indicator dilution and transoesophageal echocardiography. European Journal of Anaesthesiology. 2001;18:662–667
  43. Michard F, Alaya S, Zarka V, et al. Global end-diastolic volume as an indicator of cardiac preload in patients with septic shock. Chest. 2003;124:1900–1908
  44. Nirmalan M, Willard TM, Edwards DJ, et al. Estimation of errors in determining intrathoracic blood volume using the single transpulmonary thermal dilution technique in hypovolemic shock. Anesthesiology. 2005;103:805–812
  45. Walsh TS, Lee A. Mathematical coupling in medical research: lessons from studies of oxygen kinetics. British Journal of Anaesthesia. 1998;81:118–120
  46. McLuckie A, Bihari D. Investigating the relationship between intrathoracic blood volume index and cardiac index. Intensive Care Medicine. 2000;26:1376–1378
  47. Buhre W, Kazmaier S, Sonntag H, Weyland A. Changes in cardiac output and intrathoracic blood volume: a mathematical coupling of data?. Acta Anaesthesiologica Scandinavica. 2001;45:863–867
  48. Perner A, Faber T. Stroke volume variation does not predict fluid responsiveness in patients with septic shock on pressure support ventilation. Acta Anaesthesiologica Scandinavica. 2006;50:1068–1073
  49. Morgan BC, Martin WE, Hornbein TF, et al. Hemodynamic effects of intermittent positive pressure respiration. Anesthesiology. 1966;27:584–590
  50. Kramer A, Zygun D, Hawes H, et al. Pulse pressure variation predicts fluid responsiveness following coronary artery bypass surgery. Chest. 2004;126:1563–1568
  51. Godje O, Hoke K, Goetz AE, et al. Reliability of a new algorithm for continuous cardiac output determination by pulse-contour analysis during hemodynamic instability. Critical Care Medicine. 2002;30:52–58
  52. Auler JO, Galas F, Hajjar L, et al. Online monitoring of pulse pressure variation to guide fluid therapy after cardiac surgery. Anesthesia and Analgesia. 2008;106:1201–1206
  53. Cannesson M, Slieker J, Desebbe O, et al. The ability of a novel algorithm for automatic estimation of the respiratory variations in arterial pulse pressure to monitor fluid responsiveness in the operating room. Anesthesia and Analgesia. 2008;106:1195–1200
  54. Pinsky MR. Heart-lung interactions. Current Opinion in Critical Care. 2007;13:528–531
  55. Renner J, Scholz J, Bein B. Dynamic variables of fluid responsiveness may be related to the type of volume challenge performed. Anesthesia and Analgesia. 2007;104:1603
  56. Michard F, Chemla D, Richard C, et al. Clinical use of respiratory changes in arterial pulse pressure to monitor the hemodynamic effects of PEEP. American Journal of Respiratory and Critical Care Medicine. 1999;159:935–939
  57. Reuter DA, Kirchner A, Felbinger TW, et al. Usefulness of left ventricular stroke volume variation to assess fluid responsiveness in patients with reduced cardiac function. Critical Care Medicine. 2003;31:1399–1404
  58. Hofer CK, Muller SM, Furrer L, et al. Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting. Chest. 2005;128:848–854
  59. Vieillard-Baron A, Chergui K, Rabiller A, et al. Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients. Intensive Care Medicine. 2004;30:1734–1739
  60. Feissel M, Badie J, Merlani PG, et al. Pre-ejection period variations predict the fluid responsiveness of septic ventilated patients. Critical Care Medicine. 2005;33:2534–2539
  61. Renner J, Cavus E, Meybohm P, et al. Stroke volume variation during hemorrhage and after fluid loading: impact of different tidal volumes. Acta Anaesthesiologica Scandinavica. 2007;51:538–544
  62. Reuter DA, Goepfert MS, Goresch T, et al. Assessing fluid responsiveness during open chest conditions. British Journal of Anaesthesia. 2005;94:318–323
  63. Rex S, Schalte G, Schroth S, et al. Limitations of arterial pulse pressure variation and left ventricular stroke volume variation in estimating cardiac pre-load during open heart surgery. Acta Anaesthesiologica Scandinavica. 2007;51:1258–1267
  64. De Blasi RA, Palmisani S, Cigognetti L, et al. Effects of sternotomy on heart-lung interaction in patients undergoing cardiac surgery receiving pressure-controlled mechanical ventilation. Acta Anaesthesiologica Scandinavica. 2007;51:441–446
  65. Duperret S, Lhuillier F, Piriou V, et al. Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs. Intensive Care Medicine. 2007;33:163–171
  66. Renner J, Gruenewald M, Quaden R, et-al. Influence of increased intra-abdominal pressure on fluid responsiveness predicted by pulse pressure variation and stroke volume variation in a porcine model. Critical Care Medicine, in press.
  67. Lambert P, Sloth E, Smith B, et al. Does a positive end-expiratory pressure-induced reduction in stroke volume indicate preload responsiveness? An experimental study. Acta Anaesthesiologica Scandinavica. 2007;51:415–425
  68. Pizov R, Cohen M, Weiss Y, et al. Positive end-expiratory pressure-induced hemodynamic changes are reflected in the arterial pressure waveform. Critical Care Medicine. 1996;24:1381–1387
  69. Renner J, Gruenewald M, Meybohm P, et-al. Effect of elevated PEEP on dynamic variables of fluid responsiveness in a pediatric animal model. Paediatric Anaesthesia, 2008; 18: 1170–1177.
  70. Nouira S, Elatrous S, Dimassi S, et al. Effects of norepinephrine on static and dynamic preload indicators in experimental hemorrhagic shock. Critical Care Medicine. 2005;33:2339–2343
  71. Durand P, Chevret L, Essouri S, et al. Respiratory variations in aortic blood flow predict fluid responsiveness in ventilated children. Intensive Care Medicine. 2008;34:888–894
  72. Heenen S, De Backer D, Vincent JL. How can the response to volume expansion in patients with spontaneous respiratory movements be predicted?. Critical Care. 2006;10:R102
  73. Magder S. Predicting volume responsiveness in spontaneously breathing patients: still a challenging problem. Critical Care. 2006;10:165
  74. Soubrier S, Saulnier F, Hubert H, et al. Can dynamic indicators help the prediction of fluid responsiveness in spontaneously breathing critically ill patients?. Intensive Care Medicine. 2007;33:1117–1124
  75. Pinsky MR, Matuschak GM, Klain M. Determinants of cardiac augmentation by elevations in intrathoracic pressure. Journal of Applied Physiology. 1985;58:1189–1198
  76. Giebler RM, Behrends M, Steffens T, et al. Intraperitoneal and retroperitoneal carbon dioxide insufflation evoke different effects on caval vein pressure gradients in humans: evidence for the starling resistor concept of abdominal venous return. Anesthesiology. 2000;92:1568–1580
  77. Kubitz JC, Annecke T, Kemming GI, et al. The influence of positive end-expiratory pressure on stroke volume variation and central blood volume during open and closed chest conditions. European Journal of Cardio-Thoracic Surgery. 2006;30:90–95
  78. Sennoun N, Montemont C, Gibot S, et al. Comparative effects of early versus delayed use of norepinephrine in resuscitated endotoxic shock. Critical Care Medicine. 2007;35:1736–1740
  79. Gan TJ, Soppitt A, Maroof M, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology. 2002;97:820–826
  80. Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Archives of Surgery. 1995;130:423–429
  81. Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. British Journal of Anaesthesia. 2005;95:634–642
  82. Lopes MR, Oliveira MA, Pereira VO, et al. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Critical Care. 2007;11:R100
  83. Buettner M, Schummer W, Huettemann E, et al. Influence of systolic-pressure-variation-guided intraoperative fluid management on organ function and oxygen transport. British Journal of Anaesthesia. 2008;101:194–199
  84. Preisman S, Kogan S, Berkenstadt H, Perel A. Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation Test and static preload indicators. British Journal of Anaesthesia. 2005;95:746–755
  85. Cannesson M, Besnard C, Durand PG, et al. Relation between respiratory variations in pulse oximetry plethysmographic waveform amplitude and arterial pulse pressure in ventilated patients. Critical Care. 2005;9:562–568
  86. Solus-Biguenet H, Fleyfel M, Tavernier B, et al. Non-invasive prediction of fluid responsiveness during major hepatic surgery. British Journal of Anaesthesia. 2006;97:808–816
  87. Natalini G, Rosano A, Taranto M, et al. Arterial versus plethysmographic dynamic indices to test responsiveness for testing fluid administration in hypotensive patients: a clinical trial. Anesthesia and Analgesia. 2006;103:1478–1484
  88. Feissel M, Teboul JL, Merlani P, et al. Plethysmographic dynamic indices predict fluid responsiveness in septic ventilated patients. Intensive Care Medicine. 2007;33:993–999

PII: S1521-6896(08)00102-X

doi: 10.1016/j.bpa.2008.12.001

Best Practice & Research Clinical Anaesthesiology
Volume 23, Issue 2 , Pages 159-171 , June 2009