Assessment of Fluid Responsiveness in Patients with Intraabdominal Hypertension
During the last 20 years, the issue of predicting fluid responsiveness has become one of the main topics of clinical research in intensive care medicine. In practice, clinicians are increasingly getting used to asking the question whether cardiac output will increase or not as a result of fluid administration. Of course, this is based on evidence that not all patients respond to fluid administration because of basic cardiovascular physiology. But this practice has been stimulated even more by the growing evidence that excessive fluid administration is definitely harmful, in the perioperative setting as well as in the intensive care unit (ICU). To detect the presence of fluid responsiveness at the bedside, many tests have been developed in recent years.
At the same time, the issue of intraabdominal hypertension (IAH) has gained interest. This pathologic condition, which has various deleterious effects, the main being to worsen hemodynamic status, may worsen the prognosis...
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