Prediction of fluid responsiveness using respiratory variations in left ventricular stroke area by transoesophageal echocardiographic automated border detection in mechanically ventilated patients 英文参考文献.docVIP

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Prediction of fluid responsiveness using respiratory variations in left ventricular stroke area by transoesophageal echocardiographic automated border detection in mechanically ventilated patients 英文参考文献.doc

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Prediction of fluid responsiveness using respiratory variations in left ventricular stroke area by transoesophageal echocardiographic automated border detection in mechanically ventilated patients 英文参考文献

Available online /content/10/6/R171 Research Open Access Vol 10 No 6 Prediction of fluid responsiveness using respiratory variations in left ventricular stroke area by transoesophageal echocardiographic automated border detection in mechanically ventilated patients Maxime Cannesson1, Juliette Slieker1, Olivier Desebbe1, Fadi Farhat2, Olivier Bastien1 and Jean- Jacques Lehot1 1Department of Anaesthesiology and Intensive Care, Louis Pradel Hospital, Claude Bernard Lyon 1 university, EA 1896, Hospices Civils de Lyon, Lyon, France 2Service de Chirurgie Cardiaque, H?pital Cardiologique Louis Pradel, 200 avenue du Doyen Lépine, 69500 Bron, France Corresponding author: Maxime Cannesson, maxime_cannesson@ Received: 13 Sep 2006 Revisions requested: 19 Oct 2006 Revisions received: 27 Oct 2006 Accepted: 12 Dec 2006 Published: 12 Dec 2006 Critical Care 2006, 10:R171 (doi:10.1186/cc5123) This article is online at: /content/10/6/R171 ? 2006 Cannesson et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background Left ventricular stroke area by transoesophageal echocardiographic automated border detection has been shown to be strongly correlated to left ventricular stroke volume. Respiratory variations in left ventricular stroke volume or its surrogates are good predictors of fluid responsiveness in Results Cardiac output increased significantly in response to volume expansion induced by passive leg raising (from 2.16 ± 0.79 litres per minute to 2.78 ± 1.08 litres per minute; p 0.01). ΔSA decreased significantly in response to volume expansion (from 17% ± 7% to 8% ± 6%; p 0.01). ΔSA was higher in responders than in non-responders (20% ± 5% versus 10% ± 5%; p 0.01). A cutoff ΔSA