Volume status: Monitoring

Basic, Clinical Sciences: Anesthesia Procedures, Methods, and Techniques

Pulmonary Artery Occlusion Pressure: Not reliable, may not be helpful in guiding fluid therapy.

Transesophageal Echocardiography: assess for ventricular filling.  Reliable, but requires equipment and extertise.

Arterial Pulse Pressure Variation (PPV): Dynamic measurement that assess the effect of intrathoracic pressure changes on stroke volume changes during mechanical ventilation. Useful in the setting of a preload dependent Right Ventricle, which in turn influences LV preload and stroke volume. If RV dependent, positive pressure ventilation will significantly decrease venous return and subsequently stroke volume. Arterial pulse pressure serves to represent stroke volume and studies have shown it to be a highly predictable measure of fluid status.

Sources

    Keys to the Cart: May 1, 2019 Volume Status Monitoring

    Crit Care;2013 Mar 19;17(2):217

    [PubMed: 23510457]

    Anesthesiol Res Pract;2011;2011():231493

    [PubMed: 21785588]

66%

Answered correctly

2018

Year asked

59%

Answered correctly

2016

Year asked

Author
Kamilla Esfahani, MD