Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients: Part II

Publication Date: June 1, 2016
Last Updated: March 14, 2022

Recommendations

Preload Responsiveness

In Mechanically Ventilated Patients About to Undergo Fluid Resuscitation (Recommended for All Levels of Training).

We recommend critical care practitioners consider measuring IVC collapsibility in patients on positive pressure ventilation by bedside cardiac ultrasound (BCU) to assess fluid responsiveness prior to undergoing large volume fluid resuscitation. Any patient who has more than 15% change in vena caval diameter should be considered preload responsive. Patients with a smaller change in IVC diameter may not respond favorably to fluid resuscitation. (1B)
315340

Overview

Title

Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients: Part II

Authoring Organization