Research Article

Haemodynamic Monitoring in the Intensive Care Unit: Results from a Web-Based Swiss Survey

Table 1

Haemodynamic parameters used by Swiss intensivists for fluid management.

ParametersAverage of replies by Swiss intensivists

Parameters used to predict fluid responsiveness ā€‰
PPV59% (n = 76/130)
PLR54% (n = 70/130)
Echocardiography54% (n = 70/130)
SVV48% (n = 62/130)
GEDV**46% (n = 51/112)
CO45% (n = 59/130)
ScvO243% (n = 56/130)
Arterial pressure42% (n = 54/130)
PAOP*39% (n = 44/114)
EVLW**33% (n = 37/111)
32% (n = 36/113)
CVP31% (n = 40/130)
RVVC26% (n = 34/130)
ITBV**21% (n = 24/112)
Global fluid balance15% (n = 19/130)
Diameter of inferior vena cava12% (n = 15/130)

Parameters used to stop further fluid infusion ā€‰
EVLW**52% (n = 58/112)
PAOP*51% (n = 58/114)
PPV43% (n = 55/129)
GEDV**42% (n = 47/112)
Lactate42% (n = 54/129)
Echocardiography38% (n = 49/128)
PLR38% (n = 49/129)
ITBV**30% (n = 34/112)
Other clinical parameters27% (n = 35/129)
Oxygen requirement26% (n = 33/129)
Normal CO23% (n = 30/129)
ScvO219% (n = 24/129)
13% (n = 15/113)
High CO6% (n = 8/129)

The results are presented as the mean response from Swiss intensivists in %, with the number of replies to the total number of intensivists responding to the question (n Intensivists/total replies). For parameters requiring a specific technique, only the replies from ICUs where this technique was available were selected: pulmonary artery catheter (PAC) available: indicated by ; transpulmonary thermodilution with PiCCO available: indicated by . CO: cardiac output; CVP: central venous pressure; EVLW: extravascular lung water; GEDV: global end-diastolic volume; ITBV: intrathoracic blood volume; PAOP: pulmonary artery occlusion pressure; PLR: passive leg rising test; PPV: pulse pressure variation; RVVC: respiratory variation of inferior vena cava; ScvO2: central venous blood saturation; SVV: stroke volume variation; SvO2: mixed venous blood saturation.