The dynamic arterial elastance: a call for a cautious interpretation

The dynamic arterial elastance: a call for a cautious interpretation Intensive Care Med (2017) 43:1438–1439 DOI 10.1007/s00134-017-4836-7 CORRESPONDENCE The dynamic arterial elastance: a call for a cautious interpretation Discussion on “Predicting vasopressor needs using dynamic parameters” 1,2 1,2 1,2* 3 4 Mathieu Jozwiak , Xavier Monnet , Jean‑Louis Teboul , M. Ignacio Monge García , Michael R. Pinsky and Maurizio Cecconi © 2017 Springer‑ Verlag Berlin Heidelberg and ESICM value would discourage clinicians from infusing fluids, Initial correspondence from Drs. Jozwiak, with inherent risks of under-resuscitation. It should be Monnet and Teboul more clearly stated that a low Ea should not contrain- dyn Dear Editor, dicate administration of fluids in preload-responsive We read with great interest the article by Monge García patients but rather should suggest initiation of vasopres- et  al. [1] that emphasizes the ability of dynamic arterial sors in combination with fluid infusion. elastance (Ea ), defined as the pulse pressure variation dyn (PPV)/stroke volume variation (SVV) ratio, to predict the Reply from Drs. Monge García, Pinsky and Cecconi mean arterial pressure (MAP) response to volume expan- We thank Drs. Jozwiak, Monnet and Teboul for their val- sion in preload-responsive patients. uable comments on our editorial “Predicting vasopressor However, we want to point out two issues, which should needs using dynamic parameters” Intensive Care Medicine Springer Journals

The dynamic arterial elastance: a call for a cautious interpretation

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag Berlin Heidelberg and ESICM
Medicine & Public Health; Intensive / Critical Care Medicine; Anesthesiology; Emergency Medicine; Pneumology/Respiratory System; Pain Medicine; Pediatrics
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