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” http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Intensive Care Medicine Springer Journals

The dynamic arterial elastance: a call for a cautious interpretation

Loading next page...
 
/lp/springer_journal/the-dynamic-arterial-elastance-a-call-for-a-cautious-interpretation-0p0GyGeNB8
Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag Berlin Heidelberg and ESICM
Subject
Medicine & Public Health; Intensive / Critical Care Medicine; Anesthesiology; Emergency Medicine; Pneumology/Respiratory System; Pain Medicine; Pediatrics
ISSN
0342-4642
eISSN
1432-1238
D.O.I.
10.1007/s00134-017-4836-7
Publisher site
See Article on Publisher Site

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial