Magder S
Division of Critical Care, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, Canada H3A 1A1.
Crit Care. 2006;10(5):165. doi: 10.1186/cc5029.
The prediction of which patients respond to fluid infusion and which patients do not is an important issue in the intensive care setting. Assessment of this response by monitoring changes in some hemodynamic characteristics in relation to spontaneous breathing efforts would be very helpful for the management of the critically ill. This unfortunately remains a difficult clinical problem, as discussed in the previous issue of the journal. Technical factors and physiological factors limit the usefulness of current techniques.
预测哪些患者对液体输注有反应而哪些患者没有反应,这在重症监护环境中是一个重要问题。通过监测与自主呼吸努力相关的一些血流动力学特征的变化来评估这种反应,对于危重症患者的管理将非常有帮助。不幸的是,如该期刊上一期所讨论的,这仍然是一个棘手的临床问题。技术因素和生理因素限制了当前技术的实用性。