BioMed Research International

Research Article

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

Table 2

Consensus in the replies from Swiss intensivists concerning haemodynamic monitoring.
Strong consensus
On the availability of echocardiography, pulmonary artery catheter, or PiCCO in Swiss ICUs
On the nonavailability of FloTrac, oesophageal Doppler monitoring, or LiDCO in Swiss ICUs
On the use of echocardiography for haemodynamic monitoring
On the interest of Swiss intensivists to be able to perform echocardiography themselves in critically ill patients
On the use of cardiac index, EVLW, GEDV, or SVV when using the PiCCO device
On the nonuse of GEF, PVPI, or CPI when using the PiCCO device
On the nonuse of EVLW, SVO2, CVP, RVVC, ITBV, global fluid balance, or the diameter of inferior vena cava for predicting fluid 
responsiveness
On the nonuse of ITBV, other clinical parameters, oxygen requirement, normal cardiac output, ScVO2, SVO2, or high cardiac output to 
stop further fluid infusion
Weak consensus
On the preference for the use of TPTD in haemodynamic monitoring
That Swiss intensivists do not perform themselves echocardiography
On the use of ITBV when using the PiCCO device
On the nonuse of CFI when using the PiCCO device
For a mean arterial blood pressure target between 60–65 mmHg
On the use of PPV for predicting fluid responsiveness
On the nonuse of cardiac output, ScVO2, arterial pressure, or PAOP to predict fluid responsiveness
No consensus
On the frequency of use of echocardiography for haemodynamic monitoring
On the use of PPV or SVRI when using the PiCCO device
On the threshold of CVP that may indicate the need for fluid infusion
On the threshold of PAOP that may indicate the need for fluid infusion
On the use of PLR, echocardiography, SVV, or GEDV for predicting fluid responsiveness
On the use of EVLW or PAOP to stop further fluid infusion
A strong consensus was defined as a response rate greater than 65% for a single question; a weak consensus was defined as a response rate from 55–64%; and no consensus was declared when the response rate was under 55%. 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.