ArticleCritical care explorations2025
Improved Prediction of Fluid Responsiveness in Ventilated Patients With Low Tidal Volume: The Role of Preload Variation.
Article in Critical care explorations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Venous congestion from a vascular waterfall perspective: reframing congestion as a dynamic Starling resistor phenomenon.Intensive care medicine experimental · 2025Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyze whether two levels of preload, one reduced by the application of tourniquets with sphygmomanometer cuffs and the other increased by passive leg elevation, improve the predictive capacity of pulse pressure variation (PPV) and stroke volume variation (SVV) of fluid responsiveness in patients ventilated with low tidal volume (Vt).
designProspective cohort study.
settingICU at the University Hospital of Cádiz (Spain). PATIENTS: Patients diagnosed with septic shock, on controlled invasive mechanical ventilation without spontaneous breathing, with a Vt of 6 mL/kg predicted body weight and considered for an intravascular volume load due to hemodynamic instability.
interventionsPatient position changes: supine position and passive leg raise. Placement of pressure cuff compression at 60 mm Hg in one upper limb and the two lower limbs. Administration of 10 mL/kg of saline solution in 10 minutes. MEASUREMENTS AND
resultsTwenty-eight tests were obtained. The baseline characteristics of the responders and nonresponders were similar. The baseline variables PPV and SVV had a limited ability to predict the response to fluids, with areas under the curve of 0.71 and 0.66, respectively. However, its predictive capacity increases significantly with different maneuvers, with the best prediction of the difference between the PPV value during the application of tourniquets and the PPV value in the supine position, with an area under the receiver operating characteristic curve of 0.97.
conclusionsLowering preload using tourniquets improves the predictive capacity of PPV and SVV for fluid responsiveness in patients ventilated with low Vt.
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