Hemodynamics, fluids & transfusion

Consistency of data reporting in fluid responsiveness studies in the critically ill setting: the CODEFIRE consensus from the Cardiovascular Dynamic section of the European Society of Intensive Care Medicine

Intensive Care MedPublished Consensus statement

Methodological detailsDelphi, three-step Delphi process, international expert panel
  • Delphi
  • Three-step Delphi process
  • International expert panel

Recommendations

As issued by the authors

  1. 52 recommendations or suggestions across 5 main domains (initially 117 items)

  2. RI/SI

    Intensive care unit (ICU) admission: 18 RIs and 2 SIs

  3. RI/SI

    Mechanical ventilation: 11 RIs and 1 SI

  4. RI

    Reason for giving a fluid challenge (FC): 5 RIs

  5. RI

    Pre- and post-FC hemodynamic data: 8 RIs

  6. RI

    Pre-FC infused drugs: 7 RIs

  7. strong agreement

    FC volume 4 ml/kg and reference variable cardiac output

  8. weak agreement

    FC administration rate within 10 min

  9. no consensus

    Use of echocardiography

Original publication

Consistency of data reporting in fluid responsiveness studies in the critically ill setting: the CODEFIRE consensus from the Cardiovascular Dynamic section of the European Society of Intensive Care Medicine. Intensive Care Med. Published 14 March 2024. doi:10.1007/s00134-024-07344-4

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