Volume responsiveness assessment by transthoracic echocardiography and the application in pediatric intensive care unit
10.3760/cma.j.issn.1673-4912.2015.06.002
- VernacularTitle:经胸心脏超声容量反应性评估在儿童重症监护室的应用
- Author:
Ying WANG
;
Sijuan SUN
- Publication Type:Journal Article
- Keywords:
Volume responsiveness;
Transthoracic echocardiography;
Intensive care unit;
Children
- From:
Chinese Pediatric Emergency Medicine
2015;22(6):366-369,374
- CountryChina
- Language:Chinese
-
Abstract:
Fluid resuscitation is the primary step in the management of acute circulation failure,aims to make a significant increase in cardiac output,and then providing adequate blood perfusion for peripheral tissues.According to Frank-Starling curve,the positive outcome only occurs in patients within a certain range of cardiac function,while in other conditions fluid overload would immediately increase the mortality. Distinguish-ing volume responders form non-responders effectively is still a serious problem common to adult and pediatric physicians at intensive care unit.Volume responsiveness assessment using transthoracic echocar-diography has become a research hotspot during the past few years,this review aims to make a summary of those findings as well as the present situation in pediatric field.
