Preload assessment and optimization in critically ill patients.
Preload assessment and optimization is the basic hemodynamic intervention in critically ill. Beside clinical assessment, non-invasive or invasive assessment by measurement of various pressure or volume hemodynamic variables, are helpful for estimation of preload and fluid responsiveness. The use of dynamic variables is useful in particular subgroup of critically ill patients. In patients with inadequate preload, fluid responsiveness and inadequate flow, treatment with crystalloids or colloids is mandatory. When rapid hemodynamic response is necessary colloids are preferred.
Voga
Gorazd
G
Department for Intensive Internal medicine, General Hospital Celje, Oblakova 5, 3000 Celje, Slovenia.
D016638:Critical Illness; D005440:Fluid Therapy; D006439:Hemodynamics; D006801:Humans; D008991:Monitoring, Physiologic; D014882:Water-Electrolyte Balance