
Published:
01 March 2019
Online ISBN:
9780191813290
Print ISBN:
9780198749080
Contents
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Introduction Introduction
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Relevant physiology Relevant physiology
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The Frank–Starling relationship The Frank–Starling relationship
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Volume, pressure, and flow Volume, pressure, and flow
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Static versus dynamic parameters Static versus dynamic parameters
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Fluid responsiveness Fluid responsiveness
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Hypovolaemic versus distributive shock Hypovolaemic versus distributive shock
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When to start fluid resuscitation When to start fluid resuscitation
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Left ventricular preload Left ventricular preload
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Right ventricular preload Right ventricular preload
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Spontaneous ventilation and inferior vena caval collapsibility Spontaneous ventilation and inferior vena caval collapsibility
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Mechanical ventilation and inferior vena caval distensibility Mechanical ventilation and inferior vena caval distensibility
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Mechanical ventilation and superior vena caval collapsibility Mechanical ventilation and superior vena caval collapsibility
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When to stop fluid resuscitation When to stop fluid resuscitation
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Estimating left atrial pressure Estimating left atrial pressure
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Right ventricular preload Right ventricular preload
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Multiple choice questions
Multiple choice questions
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Chapter 13 Chapter 13
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Further reading Further reading
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Chapter
13 Intravascular volume and cardiac output assessment
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Pages
117–124
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Published:March 2019
Cite
Peck, Marcus, and others, ' Intravascular volume and cardiac output assessment', in Marcus Peck, and Peter MacNaughton (eds), Focused Intensive Care Ultrasound, Oxford Clinical Imaging Guides (Oxford , 2019; online edn, Oxford Academic, 1 Mar. 2019), https://doi.org/10.1093/med/9780198749080.003.0013, accessed 7 May 2025.
Abstract
This chapter will focus on two-dimensional echo techniques that can detect potential hypovolaemia and hypervolaemia. It will discuss both dynamic and static parameters and how these may help to predict fluid responsiveness and fluid tolerance, respectively. The advanced section will then introduce established Doppler-based echo techniques that can be used to estimate stroke volume and guide volume resuscitation, as well as novel approaches currently under investigation.
Keywords:
hypovolaemia, hypervolaemia, fluid responsiveness, fluid tolerance, left ventricular preload, right ventricular preload, inferior vena caval collapsibility, inferior vena caval distensibility index, stroke volume, cardiac output, volume–time integral variation, passive leg raise, micro-challenge
Subject
Critical Care
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
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