原创力文档non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical icu patients an observational cohort study非侵入性中风体积测量和被动腿提高预测体积响应在医学icu病人一项观察性队列研究.pdfVIP
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non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical icu patients an observational cohort study非侵入性中风体积测量和被动腿提高预测体积响应在医学icu病人一项观察性队列研究
Available online /content/13/4/R111
Vol 13 No 4 Open Access
Research
Non-invasive stroke volume measurement and passive leg raising
predict volume responsiveness in medical ICU patients: an
observational cohort study
Steven W Thiel, Marin H Kollef and Warren Isakow
Pulmonary and Critical Care Division, Washington University School of Medicine, Campus Box 8052, 660 South Euclid Avenue, St. Louis, MO
63110, USA
Corresponding author: Warren Isakow, wisakow@
Received: 19 May 2009 Revisions requested: 22 Jun 2009 Revisions received: 25 Jun 2009 Accepted: 8 Jul 2009 Published: 8 Jul 2009
Critical Care 2009, 13:R111 (doi:10.1186/cc7955)
This article is online at: /content/13/4/R111
© 2009 Thiel 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
Introduction The assessment of volume responsiveness and during PLR was then compared with the change in SV with
the decision to administer a fluid bolus is a common dilemma volume expansion to determine the ability of PLR in conjunction
facing physicians caring for critically ill patients. Static markers with SV measurement to predict volume responsiveness.
of cardiac preload are poor predictors of volume
responsiveness, and dynamic markers are often limited by the
Results A total of 102 fluid challenges in 89 patients were
presence of spontaneo
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