Fluid Responsiveness in Acute Respiratory Distress Syndrome Patients: a Post Hoc Analysis of the HEMOPRED Study

Adrien Joseph,Bruno Evrard,Matthieu Petit,Marine Goudelin,Gwenaël Prat,Michel Slama,Cyril Charron,Philippe Vignon,Antoine Vieillard-Baron

Intensive Care Medicine（2024）

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Abstract

Optimal fluid management in patients with acute respiratory distress syndrome (ARDS) is challenging due to risks associated with both circulatory failure and fluid overload. The performance of dynamic indices to predict fluid responsiveness (FR) in ARDS patients is uncertain. This post hoc analysis of the HEMOPRED study compared the performance of dynamic indices in mechanically ventilated patients with shock, with and without ARDS, to predict FR, defined as an increase in aortic velocity time integral (VTI) > 10

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Key words

Fluid therapy,Hemodynamic,Echocardiography,Acute respiratory distress syndrome

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