Hemodynamics, fluids & transfusion

Pressure response to fluid challenge administration in hypotensive surgical patients: a post-hoc pharmacodynamic analysis of five datasets

J Clin Monit ComputPublished Post-hoc pharmacodynamic analysis of five merged datasets

Authors' conclusion

In hypotensive patients, FC restores a MAP [Formula: see text] 65 mmHg after 5 min from infusion start. The hemodynamic profile of FC in hypotensive and normotensive patients is different; both the magnitude of pressure augmentation and duration is greater in the hypotensive group.

Study context

Population
Elective surgical patients receiving a fluid challenge (FC)102 (47.0%) fluid responders
Participants
Two hundred-seventeen patients
Comparison
Hypotensive vs normotensive response to fluid challenge
Primary endpoint
Effect of FC on arterial pressures (systolic, diastolic, mean, dicrotic), dynamic indexes of fluid responsiveness and arterial elastance (net AUC, dmax, tmax, d5)
Follow-up
10-min infusion; 5 min after FC end

Primary result

As reported in the abstract

  • On average, FC restored a mean arterial pressure (MAP) [Formula: see text] 65 mmHg after 5 min
  • AUCs and dmax of pressure variables and arterial elastance significantly greater in hypotensive than normotensive patients
  • Pressure variables and arterial elastance changes significantly higher at d5 in hypotensive vs normotensive group

Original publication

Pressure response to fluid challenge administration in hypotensive surgical patients: a post-hoc pharmacodynamic analysis of five datasets. J Clin Monit Comput. Published 5 October 2022. doi:10.1007/s10877-022-00918-x

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