Rethinking Fluid Responsiveness during Septic Shock: Ameliorate Accuracy of Noninvasive Cardiac Output Measurements through Evaluation of Arterial Biomechanical Properties
Beat-to-beat estimates of cardiac output from the direct measure of peripheral arterial blood pressure rely on the assumption that changes in the waveform morphology are related to changes in blood flow and vasomotor tone. However, in septic shock patients, profound changes in vascular tone occur th...
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| Veröffentlicht in: | Journal of personalized medicine 2024-01, Vol.14 (1), p.70 |
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| creator | Papaioannou, Vasileios Papaioannou, Theodoros |
| description | Beat-to-beat estimates of cardiac output from the direct measure of peripheral arterial blood pressure rely on the assumption that changes in the waveform morphology are related to changes in blood flow and vasomotor tone. However, in septic shock patients, profound changes in vascular tone occur that are not uniform across the entire arterial bed. In such cases, cardiac output estimates might be inaccurate, leading to unreliable evaluation of fluid responsiveness. Pulse wave velocity is the gold-standard method for assessing different arterial biomechanical properties. Such methods might be able to guide, personalize and optimize the management of septic patients. |
| doi_str_mv | 10.3390/jpm14010070 |
| format | Article |
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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Biomechanics Blood flow Blood pressure Compliance Coronary vessels Diagnosis Fluids Health aspects Heart Hemodynamics Infection Mechanical properties Multiple organ dysfunction syndrome Sepsis Septic shock Veins & arteries Velocity Wave propagation |
| title | Rethinking Fluid Responsiveness during Septic Shock: Ameliorate Accuracy of Noninvasive Cardiac Output Measurements through Evaluation of Arterial Biomechanical Properties |
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