What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis

Toscani, Laura; Aya, Hollmann D.; Antonakaki, Dimitra; Bastoni, Davide; Watson, Ximena; Arulkumaran, Nish; Rhodes, Andrew; Cecconi, Maurizio

doi:10.1186/s13054-017-1796-9

Critical Care

Table 1 Description of fluid challenge characteristics from the studies included in the analysis

From: What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis

Author	Year	Setting	N	Type of fluid	Volume	Rate or infusion time	Responders	End-point	Method of assessment	Time of assessment
Auler [20]	2008	ICU	59	Crystalloid	20 mL/Kg	20 min	39	CI > =15%	PAC	Post Hoc
Barbier [21]	2004	ICU	20	Colloids	7 mL/Kg	30 min	10	CI > =15%	TTE	Post Hoc
Belloni [22]	2007	Theatre	19	Colloids	7 mL/Kg	5 min	11	CI > 15%	PAC	Post Hoc
Biais [23]	2010	Theatre	27	Colloids	500 mL	10 min	16	CO > 15%	Vigileo	3 min
Biais [24]	2008	ICU	35	Colloids	20 mL x BMI	20 min	17	CO > =15%	Vigileo/TTE	Post Hoc
Biais [25]	2012	ICU	35	Crystalloid	500 mL	15 min	19	SV > =15%	TTE	1 min
Cannesson [26]	2009	Theatre	25	Colloids	500 mL	10 min	17	CI > 15%	Vigileo	3 min
Cannesson [27]	2008	Theatre	25	Colloids	500 mL	10 min	16	CI > =15%	PAC	4 min
Cannesson [28]	2007	Theatre	25	Colloids	500 mL	10 min	15	CI > 15%	PAC	3 min
Cecconi [29]	2012	ICU	31	Colloids	250 mL	5 min	12	SV > 15%	LiDCO	Post Hoc
Charbonneau [30]	2014	ICU	44	Colloids	7 mL/Kg	15 min	26	CI > =15%	TOE	Post Hoc
De Backer [31]	2005	ICU	60	Cryst/coll	500 & 1000 mL	30 min	33	CI > =15%	PAC	Post Hoc
De Waal [32]	2009	Theatre	18	Colloids	10 mL/Kg	10 min	15	SVI > =12%	PiCCO	Post Hoc
De Waal [32]	2009	ICU	22	Colloids	10 mL/Kg	10 min	11	SVI > =12%	PiCCO	Post Hoc
Desgranges [33]	2011	Theatre	28	Colloids	500 mL	10 min	19	CI > =15%	PAC	5 min
Dufour [34]	2011	ICU	39	Crystalloids	500 mL	5-10 min	17	SV > =15%	PiCCO	Post Hoc
Feissel [35]	2004	ICU	39	Colloids	8 mL/Kg	20 min	16	CI > 15%	TTE	1 min
Fellahi [36]	2012	ICU	25	Colloids	500 mL	15 min	14	CI > =15%	PiCCO	10 min
Fellahi [37]	2013	ICU	50	Colloids	500 mL	15 min	37	CI > =15%	PiCCO	10 min
Fellahi [38]	2012	ICU	25	Colloids	500 mL	15 min	21	CI > =15%	PiCCO	Post Hoc
Fischer [39]	2013	ICU	80	Colloids	500 mL	15 min	57	CI > =15%	PICCO	10 min
Fischer [40]	2014	ICU	50	Colloids	500 mL	15 min	41	CI > =15%	PiCCO	10 min
Fischer [41]	2013	ICU	37	Colloids	500 mL	15 min	27	CI > =15%	PiCCO	10 min
Geerts [42]	2011	ICU	24	Colloids	500 mL	N/A	17	CO > =10%	PAC	2-5 min
Guarracino [43]	2014	ICU	50	Crystalloid	7 mL/Kg	30 min	30	CI > =15%	Most Care	Post Hoc
Guerin [44]	2015	ICU	30	Crystalloid	500 mL	10 min	15	CI > =15%	PiCCO	Post Hoc
Guinot [45]	2012	Theatre	90	Crystalloid	500 mL	10 min	53	SV > 15%	TOE	Post Hoc
Guinot [46]	2015	Theatre	73	Crystalloid	500 mL	10 min	27	SV > =15%	ICG	Post Hoc
Guinot [47]	2014	Theatre	61	Crystalloid	500 mL	10 min	38	SV > 15%	ODM	1 min
Guinot [48]	2014	Theatre	42	Crystalloid	500 mL	10 min	28	SV > 15%	ODM	Post Hoc
Heenen [49]	2006	ICU	21	Cryst/coll	500 & 1000 ml	30 min	9	CO > =15%	PAC/ PiCCO	15 min
L’Hermite [50]	2013	Theatre	27	Colloid	250 mL	2-3 min	17	SVI > =10%	TOE	2 min
L’Hermite [50]	2013	Theatre	23	Crystalloid	250 mL	2-3 min	14	SVI > =10%	TOE	2 min
Hong [51]	2014	Theatre	59	Colloids	6 mL/Kg	10 min	29	CI > =15%	Vigileo	Post Hoc
Huang [52]	2008	ICU	22	Colloids	500 mL	10 ml/kg/h	10	CI > =15%	PiCCO	Post Hoc
Jung [53]	2012	A&E	26	Colloids	7 mL/Kg	30 min	17	SVI > 10%	TOE	1 min
Khwannimit [54]	2012	ICU	42	Colloids	500 mL	30 min	24	SVI > =15%	Vigileo	Post Hoc
Kuiper [55]	2013	ICU	37	Colloids	up to 200 mL	90 min	26	CI > =15%	PiCCO	Post Hoc
Kupersztych-Hagege [56]	2013	ICU	48	Crystalloid	500 mL	10 min	19	CO > =15%	PiCCO	Post Hoc
Lakhal [57]	2012	ICU	112	Colloids	500 mL	30 min	44	CO > =10%	PiCCO	1 min
Lakhal [58]	2013	ICU	130	Crystalloid	500 mL	30 min	48	CO > 10% or CO >15%	PiCCO	1 min
Lamia [59]	2007	ICU	24	Crystalloid	500 mL	15 min	13	SVI > =15%	TTE	Post Hoc
Lanspa [60]	2012	ICU	14	Crystalloid	10 mL/Kg	<20 min	5	CI > =15%	TTE	Post Hoc
Lee [61]	2007	Theatre	20	Colloids	7 mL/Kg	1 mL/Kg/min	11	SVI > 10%	TOE	1 min
Loupec [62]	2011	ICU	40	Colloids	500 mL	10 min	21	CO > =15%	TTE	Post Hoc
Machare-Delgado [63]	2011	ICU	25	Crystalloid	500 mL	10 min	8	SV > =10%	TTE	30 min
Mahjoub [64]	2009	ICU	35	Colloids	500 mL	30 min	23	SV > =15%	TTE	5 min
Maizel [65]	2007	ICU	34	Crystalloid	500 mL	15 min	17	CO > =10%	TTE	Post Hoc
Mallat [66]	2015	ICU	49	Colloids	100 + 500 mL	15 min	22	CI > =15%	PiCCO	Post Hoc
Mekontso-Dessap[67]	2006	ICU	37	Colloids	500 mL	15-30 min	15	CI > =15%	PAC	Post Hoc
Monge [68]	2009	ICU	30	Colloids	500 mL	30 min	11	SVI > =15%	Vigileo	1 min
Monge [69]	2009	ICU	38	Colloids	500 mL	30 min	19	SVI > =15%	Vigileo	1 min
Monnet [70]	2011	ICU	228	Crystalloid	500 mL	20 min	142	CO > =15%	PiCCO	Post Hoc
Monnet [71]	2012	ICU	38	Crystalloid	500 mL	30 min	16	SVI > =15%	Nexfin	1 min
Monnet [72]	2013	ICU	51	Crystalloid	500 mL	30 min	25	CI > =15%	PiCCO	Post Hoc
Monnet [73]	2006	ICU	71	Crystalloid	500 mL	10 min	37	CO > =15%	TOE	Post Hoc
Monnet [74]	2012	ICU	39	Crystalloid	500 mL	30 min	17	CI > =15%	PiCCO	Post Hoc
Monnet [75]	2012	ICU	54	Crystalloid	500 mL	20 min	30	CI > =15%	PiCCO	Post Hoc
Moretti [76]	2010	ICU	29	Colloids	7 mL/kg	30 min	17	CI > =15%	PiCCO	Post Hoc
Muller [77]	2010	ICU	57	Cryst /coll	250 or 500 mL	999 mL/h	41	SVI > =15%	PAC/ PiCCO	10 min
Natalini [78]	2006	ICU	22	Colloids	500 mL	30 min	13	CI > =15%	PAC	Post Hoc
Oliveira-costa [79]	2012	ICU	37	Cryst&coll	500 & 1000 mL	30 min	17	CI > =15%	PAC	Post Hoc
Perner [80]	2006	ICU	30	Crystalloid	500 mL	30 min	14	CI > 10%	PiCCO	Post Hoc
Pierrakos [81]	2012	ICU	29	Crystalloid	1000 mL	30 min	13	CI > 10%	PAC	Post Hoc
Pierrakos [81]	2012	ICU	22	Colloids	500 mL	30 min	11	CI > 10%	PAC	Post Hoc
Pranskunas [82]	2013	ICU	50	Cryst/coll	500 mL	30 min	34	SVI > =10%	PiCCO /PAC	Post Hoc
Preau [83]	2010	ICU	34	Colloids	500 mL	30 min	14	SVI > =15%	TTE	Post Hoc
Royer [84]	2015	ICU	16	Crystalloid	500 mL	30 min	9	CO > =15%	TTE	Post Hoc
Saugel [85]	2013	ICU	24	Crystalloid	7 mL/Kg	30 min	7	CI > =15%	PICCO	Post Hoc
Siswojo [86]	2014	Theatre	29	Colloids	500 mL	5 min	17	SVI > =10%	TOE	1 min
Smorenberg [87]	2013	ICU	32	Colloids	250 mL	1000 ml/h	14	SVI > 10%	PAC	30 min
Soltner [88]	2010	ICU	40	Colloids	500 mL	20 min	16	CI > 12%	PAC	Post Hoc
Song [89]	2014	Theatre	40	Colloids	6 mL/Kg	N/A	23	SVI > =15%	PAC	1 min
Sturgess [90]	2010	ICU	10	Colloids	250 mL	15 min	4	SV > 15%	USCOM	5 min
Suehiro [91]	2012	ICU	80	Crystalloid	500 mL	30 min	38	CI > =15%	PAC	Post Hoc
Taton [92]	2013	ICU	33	Cryst/coll	500-1000 mL	15-30 min	17	CO > =10%	TTE / Nexfin	1 min
Vallee [93]	2005	ICU	51	Colloids	4 mL/Kg	15 min	20	CO > 15%	TOE	Post Hoc
Vallee [94]	2009	ICU	84	Colloids	6 mL/Kg	30 min	39	CI > 15%	PiCCO	Post Hoc
van Haren [95]	2012	ICU	12	Cryst/coll	250 mL	15 min	4	CI > 10%	PiCCO	30 min
Yazigi [96]	2012	Theatre	60	Colloids	7 mL/Kg	20 min	41	SVI > =15%	PAC	2 min
Viellard-Baron [97]	2004	ICU	66	Colloids	10 mL/Kg	30 min	20	CI > =11%	TTE	Post Hoc
Vistisen [98]	2009	ICU	23	Colloids	500 mL	90 min	17	CI > 15%	PAC	Post Hoc
Wiesenack [99]	2005	Theatre	20	Colloids	7 mL/Kg	1 mL/kg/min	13	SVI > =20%	PiCCO	1 min
Wiesenack [100]	2005	Theatre	21	Colloids	7 mL/Kg	1 mL/Kg/min	19	SVI > =10%	PAC	12 min
Wilkman [101]	2014	ICU	20	Colloids	6 mL/Kg	N/A	6	CO > 15%	TOE	1 min
Xiao-Ting [102]	2015	ICU	48	Crystalloid	500 mL	15 min	34	CI > =10%	PiCCO	Post Hoc
Zimmermann [103]	2010	Theatre	20	Colloids	7 mL/Kg	1 mL/Kg/min	15	SVI > =15%	Vigileo	1 min

ICU intensive care unit, CO cardiac output, CI cardiac index, SV stroke volume, SVI stroke volume index, TOE trans-oesophageal echocardiography, TTE trans-thoracic echocardiography, PAC pulmonary artery catheter, min minutes, USCOM transcutaneous aortic Doppler, ICG impedance cardiography, ODM oesophageal Doppler monitoring, N/A data not available, Post Hoc immediate reading

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