Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit

Fluid therapy is a critical, and often primary treatment modality in the management of various critical conditions. Like any therapeutic intervention, intravenous fluids require precise indications, contraindications, and dosing, all determined through the assessment of a patient’s volume status. He...

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Main Authors: N.V. Matolinets, I.I. Yakymenko
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2024-10-01
Series:Медицина неотложных состояний
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Online Access:https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1759
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author N.V. Matolinets
I.I. Yakymenko
author_facet N.V. Matolinets
I.I. Yakymenko
author_sort N.V. Matolinets
collection DOAJ
description Fluid therapy is a critical, and often primary treatment modality in the management of various critical conditions. Like any therapeutic intervention, intravenous fluids require precise indications, contraindications, and dosing, all determined through the assessment of a patient’s volume status. Hemodynamic assessment plays a pivotal role in the treatment of critically ill patients, enabling clinicians to administer appropriate fluid therapy and cardiovascular support to optimize tissue perfusion and oxygenation. Traditional methods of assessing fluid responsiveness, which are predominantly static such as central venous pressure and pulmonary artery occlusion pressure, often fall short in their predictive accuracy under dynamic clinical conditions. Consequently, there is a growing interest in dynamic methods of fluid responsiveness assessment, which analyze cardiovascular response to specific preload changes. This literature review aims to explore various dynamic methods of hemodynamic assessment, discussing their advantages and limitations based on sources from databases like PubMed and MEDLINE.
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series Медицина неотложных состояний
spelling doaj-art-e3d8b76850864572b2a61e6ca84a3b032024-11-10T19:28:29ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302024-10-0120647548110.22141/2224-0586.20.6.2024.17591759Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unitN.V. Matolinets0https://orcid.org/0000-0001-6656-3621I.I. Yakymenko1https://orcid.org/0009-0008-3494-2764First Lviv Territorial Medical Union, Lviv, Ukraine; Danylo Halytsky Lviv National Medical University, Lviv, UkraineFirst Lviv Territorial Medical Union, Lviv, Ukraine; Danylo Halytsky Lviv National Medical University, Lviv, UkraineFluid therapy is a critical, and often primary treatment modality in the management of various critical conditions. Like any therapeutic intervention, intravenous fluids require precise indications, contraindications, and dosing, all determined through the assessment of a patient’s volume status. Hemodynamic assessment plays a pivotal role in the treatment of critically ill patients, enabling clinicians to administer appropriate fluid therapy and cardiovascular support to optimize tissue perfusion and oxygenation. Traditional methods of assessing fluid responsiveness, which are predominantly static such as central venous pressure and pulmonary artery occlusion pressure, often fall short in their predictive accuracy under dynamic clinical conditions. Consequently, there is a growing interest in dynamic methods of fluid responsiveness assessment, which analyze cardiovascular response to specific preload changes. This literature review aims to explore various dynamic methods of hemodynamic assessment, discussing their advantages and limitations based on sources from databases like PubMed and MEDLINE.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1759fluid therapyhemodynamic monitoringfluid responsivenessdynamic methods
spellingShingle N.V. Matolinets
I.I. Yakymenko
Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
Медицина неотложных состояний
fluid therapy
hemodynamic monitoring
fluid responsiveness
dynamic methods
title Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
title_full Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
title_fullStr Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
title_full_unstemmed Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
title_short Assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
title_sort assessment of fluid responsiveness as a component of hemodynamic monitoring in the operating room and intensive care unit
topic fluid therapy
hemodynamic monitoring
fluid responsiveness
dynamic methods
url https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1759
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AT iiyakymenko assessmentoffluidresponsivenessasacomponentofhemodynamicmonitoringintheoperatingroomandintensivecareunit