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Assessment of Fluid Responsiveness in Patients with Intraabdominal Hypertension

  • A. Beurton
  • X. Monnet
  • J.-L. TeboulEmail author
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)

Introduction

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...

References

  1. 1.
    Monnet X, Marik PE, Teboul JL (2016) Prediction of fluid responsiveness: an update. Ann Intensive Care 6:111CrossRefPubMedGoogle Scholar
  2. 2.
    Toscani L, Aya HD, Antonakaki D et al (2017) What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis. Crit Care 21:207CrossRefPubMedGoogle Scholar
  3. 3.
    Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 121:2000–2008CrossRefGoogle Scholar
  4. 4.
    Vincent J-L, Sakr Y, Sprung CL et al (2006) Sepsis in European intensive care units: results of the SOAP study. Crit Care Med 34:344–353CrossRefGoogle Scholar
  5. 5.
    Sakr Y, Rubatto Birri PN, Kotfis K et al (2017) Higher fluid balance increases the risk of death from sepsis: results from a large international audit. Crit Care Med 45:386–394CrossRefGoogle Scholar
  6. 6.
    Payen D, de Pont AC, Sakr Y, Spies C, Reinhart K, Vincent JL, Sepsis Occurrence in Acutely Ill Patients (SOAP) Investigators (2008) A positive fluid balance is associated with a worse outcome in patients with acute renal failure. Crit Care 12:R74CrossRefPubMedGoogle Scholar
  7. 7.
    Bouchard J, Soroko SB, Chertow GM et al (2009) Fluid accumulation, survival and recovery of kidney function in critically ill patients with acute kidney injury. Kidney Int 76:422–427CrossRefGoogle Scholar
  8. 8.
    Rosenberg AL, Dechert RE, Park PK, Bartlett RH (2009) Review of a large clinical series: association of cumulative fluid balance on outcome in acute lung injury: a retrospective review of the ARDSnet tidal volume study cohort. J Intensive Care Med 24:35–46CrossRefGoogle Scholar
  9. 9.
    Jozwiak M, Silva S, Persichini R et al (2013) Extravascular lung water is an independent prognostic factor in patients with acute respiratory distress syndrome. Crit Care Med 41:472–480CrossRefGoogle Scholar
  10. 10.
    Osman D, Ridel C, Ray P et al (2007) Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge. Crit Care Med 35:64–68CrossRefGoogle Scholar
  11. 11.
    Marik PE, Cavallazzi R (2013) Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med 41:1774–1781CrossRefGoogle Scholar
  12. 12.
    Malbrain ML, Cheatham ML, Kirkpatrick A et al (2006) Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. I. Definitions. Intensive Care Med 32:1722–1732CrossRefGoogle Scholar
  13. 13.
    Regli A, Keulenaer BD, Laet ID, Roberts D, Dabrowski W, Malbrain ML (2015) Fluid therapy and perfusional considerations during resuscitation in critically ill patients with intra-abdominal hypertension. Anaesthesiol Intensive Ther 47:45–53Google Scholar
  14. 14.
    Kirkpatrick AW, Roberts DJ, De Waele J et al (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39:1190–1206CrossRefPubMedGoogle Scholar
  15. 15.
    Jacques D, Bendjelid K, Duperret S, Colling J, Piriou V, Viale JP (2011) Pulse pressure variation and stroke volume variation during increased intra-abdominal pressure: an experimental study. Crit Care 15:R33CrossRefPubMedGoogle Scholar
  16. 16.
    Takata M, Wise RA, Robotham JL (1985) Effects of abdominal pressure on venous return: abdominal vascular zone conditions. J Appl Physiol 69:1961–1972CrossRefGoogle Scholar
  17. 17.
    Alfonsi P, Vieillard-Baron A, Coggia M et al (2006) Cardiac function during intraperitoneal CO2 insufflation for aortic surgery: a transesophageal echocardiographic study. Anesth Analg 102:1304–1310CrossRefGoogle Scholar
  18. 18.
    Malbrain ML, De Waele JJ, De Keulenaer BL (2015) What every ICU clinician needs to know about the cardiovascular effects caused by abdominal hypertension. Anaesthesiol Intensive Ther 47:388–399CrossRefGoogle Scholar
  19. 19.
    Marik PE, Cavallazzi R, Vasu T, Hirani A (2009) Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients. A systematic review of the literature. Crit Care Med 37:2642–2647CrossRefGoogle Scholar
  20. 20.
    Yang X, Du B (2014) Does pulse pressure variation predicts fluid responsiveness in critically ill patients: a critical review and meta-analysis. Crit Care 18:650CrossRefPubMedGoogle Scholar
  21. 21.
    Duperret S, Lhuillier F, Piriou V et al (2007) Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs. Intensive Care Med 33:163–171CrossRefGoogle Scholar
  22. 22.
    Renner J, Gruenewald M, Quaden R et al (2009) Influence of increased intra-abdominal pressure on fluid responsiveness predicted by pulse pressure variation and stroke volume variation in a porcine model. Crit Care Med 37:650–658CrossRefGoogle Scholar
  23. 23.
    Liu X, Fu Q, Mi W, Liu H, Zhang H, Wang P (2013) Pulse pressure variation and stroke volume variation predict fluid responsiveness in mechanically ventilated patients experiencing intra-abdominal hypertension. Biosci Trends 7:101–108Google Scholar
  24. 24.
    Bliacheriene F, Machado SB, Fonseca EB, Otsuke D, Auler JOC, Michard F (2007) Pulse pressure variation as a tool to detect hypovolaemia during pneumoperitoneum. Acta Anaesthesiol Scand 51:1268–1272Google Scholar
  25. 25.
    Malbrain ML, de Laet I (2009) Functional hemodynamics and increased intra-abdominal pressure: same thresholds for different conditions …? Crit Care Med 37:781–783CrossRefGoogle Scholar
  26. 26.
    Tavernier B, Robin E (2011) Assessment of fluid responsiveness during increased intra-abdominal pressure: keep the indices, but change the thresholds. Crit Care 15:134CrossRefPubMedGoogle Scholar
  27. 27.
    Monnet X, Teboul JL (2015) Passive leg raising: five rules, not a drop of fluid! Crit Care 19:18CrossRefPubMedGoogle Scholar
  28. 28.
    Monnet X, Marik P, Teboul JL (2016) Passive leg raising for predicting fluid responsiveness: a systematic review and meta-analysis. Intensive Care Med 42:1935–1947CrossRefGoogle Scholar
  29. 29.
    Cherpanath TGV, Hirsch A, Geerts BF et al (2016) Predicting fluid responsiveness by passive leg raising: a systematic review and meta-analysis of 23 clinical trials. Crit Care Med 44:981–991CrossRefGoogle Scholar
  30. 30.
    Mahjoub Y, Touzeau J, Airapetian N et al (2010) The passive leg-raising maneuver cannot accurately predict fluid responsiveness in patients with intra-abdominal hypertension. Crit Care Med 38:1824–1829CrossRefGoogle Scholar
  31. 31.
    Beurton A, Teboul JL, Girotto V, Galarza L, Richard C, Monnet X (2016) Accuracy of the passing leg raising test in patients with intraabdominal hypertension. Crit Care 21(Supp 1):P130Google Scholar
  32. 32.
    Malbrain ML, Reuter DA (2010) Assessing fluid responsiveness with the passive leg raising maneuver in patients with increased intra-abdominal pressure: be aware that not all blood returns! Crit Care Med 38:1912–1915CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Service de réanimation médicale, Hôpitaux universitaires Paris-SudHôpital de BicêtreLe Kremlin-BicêtreFrance
  2. 2.INSERM UMR S_999Univ Paris-SudLe Kremlin-BicêtreFrance

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