SUMMARY

Fluid administration is the first step in the treatment of hemodynamically unstable patients. Both hypovolemia and hypervolemia are associated with increased morbidity and mortality, so optimal volume therapy requires accurate evaluation of the patient‘s intravascular volume (cardiac preload) and the ability to predict a hemodynamic response after fluid administration. Highly predictive dynamic parameter, Stroke Volume Variation, uses the interaction of heart, lung, and venous return during mechanical ventilation to predict this. Replacement volume therapy optimized by stroke volume variation , compared to standard monitoring, is useful for identifying patients requiring intravascular volume administration „volume responders“, with a reduction of overdose fluid in „non-responders“.

Key words: intravascular volume - preload - heart and lung interaction - stroke volume variation.

Lek Obz, 2022, 71 (1): 11-15

Ivan JOB ¹, Zuzana PETRÍKOVÁ ², Zdenko VALÚH ¹

1. Oddelenie anestéziológie a intenzívnej medicíny, SUSCCH, a.s., Banská Bystrica, prim. MUDr. I. Job
2. II. klinika pediatrickej anestéziológie a intenzívnej medicíny, DFNsP, Banská Bystrica, prednosta MUDr. O. Petrík, PhD.

Cite:

JOB I., PETRÍKOVÁ Z., VALÚH Z.: Optimization of volume therapy with using Stroke Volume Variation. Lek Obz, 2022, 71 (1): 11-15