Journal: Journal of Critical Care
Date: Feb 2016
Format: Review
The authors review and present an "evidence-informed protocol" of fluid resuscitation strategies using ResUS.
In particular:
- The role of IVC ResUS for estimating fluid responsiveness, with particular attention to:
- IVC distensibility
- IVC diameter
- IVC collapsability
- Lung ResUS guided fluid resuscitation with particular attention to
- Identifying pulmonary edema
- Step-wise approach to performing their IVC + Lung integrated ResUSprotocol for fluid resuscitation, fluid testing, and fluid restriction.
Commentary: Its about time someone has suggested a clean, simple, and elegant method for integrating ResUS into the fluid resuscitationstrategy beyond looking at the IVC. Most impressive is that cardiac ResUS not included in this protocol, opening the possibility of non-expert (and even non-MD) use in patient care. The proposed protocol has not been validated. Looking forward to the prospective trails.