Review Article

Can Transthoracic Echocardiography Be Used to Predict Fluid Responsiveness in the Critically Ill Patient? A Systematic Review

Table 2

Characteristics of studies selected.

StudyTechniquePatient groupSelectionVentilationRhythmVolume and typeTime (min)Response criteria

Barbier et al. [17]IVC DIMixed ICUShock (sepsis) and acute lung injuryAll mandAny7 mL/kg colloid30>15% CO TTE
Feissel et al. [18] Medical ICUShock (sepsis)All mandAny8 mL/kg colloid20>15% CO TTE
Lamia et al. [14]PLRMedical ICUShock (sepsis or hypovolaemia)All spontRegular SR, or AF500 mL crystalloid15>15% SV TTE
Maizel et al. [13]PLRMixed ICUShock (unspecified)All spontRegular SR500 mL crystalloid15>12% CO TTE
Biais et al. [15]PLRSurgical ICUShock (sepsis or haemorrhage)All spontAny500 crystalloid15>15% SV TTE
Biais wt al. [19]SVVSurgical ICUPost-operative (liver surgery)All mandRegular SR20 mL/kg/m2 colloid20>15% CO TTE
Thiel et al. [16]PLRMedical ICUShock (unspecified)MixedAny500 mL crystalloid or colloidUnspec>15% SV TTE
Préau et al. [12]PLRMedical ICUShock (sepsis or acute pancreatitis)All spontRegular SR500 mL colloid<30>15% SV TTE

Selection: inclusion criteria summary, PLR: passive leg raising, spont: spontaneous respiratory effort whether or not on mechanical ventilation, mand: ventilator giving mandatory breaths only and patient fully adapted to ventilator, SR: sinus rhythm, AF: atrial fibrillation, TTE: transthoracic echocardiography, SV: stroke volume, CO: cardiac output, change in IVC diameter adjusted by the mean (see text), IVC DI: IVC distensibility index (see text), and unspec: unspecified time.