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Fluid Responsiveness as a Physiologic Endpoint to Improve Successful Weaning

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Annual Update in Intensive Care and Emergency Medicine 2022

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

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Abstract

Fluid overload is a major factor in the morbidity and mortality of critically ill patients. Fluid responsiveness has been used not only to resuscitate patients but also to de-resuscitate patients following hemodynamic stabilization. As fluid overload has also been implicated in weaning failure, the parameters of fluid responsiveness could thus also be used to optimize patient status before initiating weaning trails and extubation in order to prevent re-intubation due to fluid overload. In this chapter, we will discuss the physiologic considerations of the possible clinical use of fluid responsiveness in the context of weaning.

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Acknowledgement

Funded by FONDECYT-ANID. CHILE. Project number N° 1200248.

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Authors and Affiliations

  1. Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile

    R. Castro, P. Born & J. Bakker

  2. Department of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands

    J. Bakker

  3. Department of Pulmonary and Critical Care, New York University School of Medicine, New York, NY, USA

    J. Bakker

  4. Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA

    J. Bakker

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  2. P. Born
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Correspondence to J. Bakker .

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Editors and Affiliations

  1. Department of Intensive Care, Erasme University Hospital Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent

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Castro, R., Born, P., Bakker, J. (2022). Fluid Responsiveness as a Physiologic Endpoint to Improve Successful Weaning. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2022. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-93433-0_12

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  • DOI: https://doi.org/10.1007/978-3-030-93433-0_12

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  • Online ISBN: 978-3-030-93433-0

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