Pulse oximeter as a sensor of fluid responsiveness do we have our finger on the best solution 英文参考文献.docVIP

Available online /content/9/5/429 Commentary Pulse oximeter as a sensor of fluid responsiveness: do we have our finger on the best solution? Xavier Monnet1, Bouchra Lamia1 and Jean-Louis Teboul2 1Assistant Professor, Service de Réanimation Médicale, Centre Hospitalier Universitaire de Bicêtre, Assistance Publique – H?pitaux de Paris, Le Kremlin-Bicêtre, France 2Professor, Service de Réanimation Médicale, Centre Hospitalier Universitaire de Bicêtre, Assistance Publique – H?pitaux de Paris, Le Kremlin-Bicêtre, France Corresponding author: Jean-Louis Teboul, jean-louis.teboul@bct.aphp.fr Published online: 28 September 2005 This article is online at /content/9/5/429 ? 2005 BioMed Central Ltd Critical Care 2005, 9:429-430 (DOI 10.1186/cc3876) See related research by Cannesson et al. in this issue [/content/9/5/R562] Abstract volume variation, the larger the degree of volume responsiveness should be. Various indirect measures of stroke volume have been proposed to guide fluid therapy using the heart–lung interaction. By virtue of their ability to display values calculated automatically, real-time monitoring devices should make indices of the heart–lung interaction increasingly popular. Respiratory variations in arterial pulse pressure, in ‘pulse contour’ stroke volume and in Doppler aortic blood velocity have been shown to predict volume responsiveness far better than static markers of preload such as cardiac filling pressures or dimensions [4-7]. The peripheral pulse oximetry arterial plethysmographic signal resembles and the degree the of pressure waveform, respiratory variation in the pulse oximetry wave is close to the degree of respiratory arterial pulse pressure variation. Thus, it is tempting to speculate that pulse oximetry can be used to assess preload responsiveness in mechanically ventilated patients. In this commentary we briefly review the complex meanin