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Predicting volume responsiveness by using the end-expiratory occlusion in mechanically ventilated intensive care unit patients.

著者 Monnet X , Osman D , Ridel C , Lamia B , Richard C , Teboul JL
Crit Care Med.2009 Mar ; 37(3):951-6.
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AP-HP, Hôpital de Bicêtre, Service de Réanimation Médicale, Le Kremlin-Bicêtre, France. xavier.monnet@bct.aphp.fr

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During mechanical ventilation, inspiration cyclically decreases the left cardiac preload. Thus, an end-expiratory occlusion may prevent the cyclic impediment in left cardiac preload and may act like a fluid challenge. We tested whether this could serve as a functional test for fluid responsiveness in patients with circulatory failure.
PMID: 19237902 [PubMed - indexed for MEDLINE]
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