Quantitative assessment of cardiac load-responsiveness during extracorporeal life support: case and rationale.
We describe a case of a patient assisted by extracorporeal life support, in which we obtained the dynamic filling index, a measure for venous volume during extracorporeal life support, and used this index to assess cardiac load-responsiveness during acute reloading. While reloading, the obtained findings on cardiac pump function by the dynamic filling index were supported by trans-esophageal echocardiography and standard pressure measurement. This suggests that the dynamic filling index can be used to assess cardiac load-responsiveness during extracorporeal life support.
Simons
Antoine P
AP
Dept, of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands. antoinepsimons@ctc.unimaas.nl
Lancé
Marcus D
MD
Reesink
Koen D
KD
van der Veen
Frederik H
FH
Weerwind
Patrick W
PW
Maessen
Jos G
JG
D005112:Extracorporeal Circulation; D006321:Heart / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000503:physiopathology / Q000628:therapy*