RETRACTED ARTICLE: Volume replacement strategies on intensive care units: results from a postal survey

Abstract

The kind of volume therapy differs widely among the different ICUs. This questionnaire supported the supposition that no standards exist for volume therapy in intensive care patients. New results concerning the abuse of albumin in the critically ill have not yet influenced strategies of volume replacement.

Does Central Venous Pressure Predict Fluid Responsiveness?*: A Systematic Review of the Literature and the Tale of Seven Mares

“…8,9,34 The results of our study are most disturbing considering that 93% of intensivists report using CVP to guide fluid management. 35 It is likely that a similar percentage (or more) of anesthesiologists, nephrologists, cardiologists, and surgeons likewise use CVP to guide fluid therapy. It is important to note that none of the studies included in our analysis took the positive end-expiatory pressure levels or changes in intrathoracic pressure into account when recording CVP.…”

Diretrizes para manutenção de múltiplos órgãos no potencial doador adulto falecido: Parte III. Recomendações órgãos específicas

“…(77,78) Although the monitoring of CVP and PCWP are recommended by some researchers, the accuracy and usefulness of the measurements remains uncertain (C). (79) Although ventricular filling pressures are the preferred method for assessing cardiovascular responsiveness, recent evidence suggests that CVP and PCWP measurements exhibit low sensitivity and specificity (C) (80) (B). (81)(82)(83) More accurate methods should be chosen to assess the variables of dynamic cardiovascular volume responsiveness (B) (81,82,84) (see the hemodynamic management section).…”

Variação da pressão sistólica como método diagnóstico da hipovolemia durante anestesia para cirurgia cardíaca

“…A monitorização da reposição de fluidos é aspecto fundamental para que sejam evitadas as complicações causadas pela sobrecarga ou falta de volume no espaço intravascular 15 . Parâmetros como POAP e PVC são utilizados respectivamente, por 93% e 58% dos médicos, no processo de decisão para expansão volêmica 16 .…”

“…Fluid replacement monitoring is critical to prevent complications caused by overload or lack of intravascular space volume 15 . Parameters such as PCWP and CVP are used, respectively, by 93% and 58% of physicians to decide for volume replacement 16 .…”