Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation

@article{Michard2000UsingHI,
  title={Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation},
  author={Fr{\'e}d{\'e}ric Michard and Jean-Louis Teboul},
  journal={Critical Care},
  year={2000},
  volume={4},
  pages={282 - 289}
}
According to the Frank-Starling relationship, a patient is a 'responder' to volume expansion only if both ventricles are preload dependent. Mechanical ventilation induces cyclic changes in left ventricular (LV) stroke volume, which are mainly related to the expiratory decrease in LV preload due to the inspiratory decrease in right ventricular (RV) filling and ejection. In the present review, we detail the mechanisms by which mechanical ventilation should result in greater cyclic changes in LV… CONTINUE READING

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