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Table 1 Characteristics of the functional hemodynamic tests and of the fluid challenges

From: Functional hemodynamic tests: a systematic review and a metanalysis on the reliability of the end-expiratory occlusion test and of the mini-fluid challenge in predicting fluid responsiveness

Studies

General characteristics

FC characteristics

Patients

FCs

Months

Ventilatory setting

FHT: description

Volume infused (ml)

Time (min)

Rate (ml/min)

Reference variable

Type of fluid

Hemodynamic monitoring

FR (%)

Operating room

Guinot et al. [33]

42

42

NS

CMV

EEOT: ventilation interrupted for 15 s

500

10

50

SV > 15%

Ringer

CardioQ

67

Biais et al. [34]

41

41

6

CMV

EEOT: ventilation interrupted for 30 s

250

10

25

SVI ≥ 10%

Saline

ProAQT

51

Biais et al. [35]

44

88

12

CMV

Mini-FC: 100 ml in 120 s

250

10

25

SVI ≥ 10%

Saline

ProAQT

32

Guinot et al. [36]

73

73

6

SB

Mini-FC: 100 ml in 60 s

500

10

50

SV > 15%

Ringer

NICCOMO

37

Preisman et al. [37]

18

70

NS

CMV

RSVT: decrease in SAP after successive incremental pressure-controlled breaths (10, 20, and 30 cmH2O)

250

5

50

SVI ≥ 15%

Poligeline 3.5%

PiCCO

46

Biais et al. [38]

28

28

12

CMV

LRM: 30 cmH20/30 s

250

10

25

SVI ≥ 10%

Saline

ProAQT

57

De Broca et al. [39]

60

60

9

CMV

LRM: 25 cmH20/25 s

500

10

50

SV ≥ 15%

Ringer

CardioQ

62

Intensive care unit

Wu et al. [40]

50

50

8

CMV

Mini-FC: 50 ml in 10 s

500

15

33

CO ≥ 15%

Crystalloids (undefined)

TTE

54

Smorenberg et al. [41]

21

21

NS

CMV

Mini-FC: 100 ml in 120 s

500

20

25

CO > 10%

Hydroxyethyl starch 6%

Modelflow/PulseCO

62

Muller et al. [29]

39

39

10

CMV

Mini-FC: 100 ml in 60 s

500

15

33.3

VTI ≥ 15%

6% HES

TTE

54

Monge Garcia et al. [42]

30

30

6

SB

Airway pressure elevated up to 30 cmH20 for 10 s

500

30

16.6

SVI ≥ 15%

6% HES

Flow-Trac

37

Perel et al. [28]

14

14

NS

CMV

RSVT: decrease in SAP after successive incremental pressure-controlled breaths (5,10, 15, and 20 cmH2O)

7/kg

30

NA

CI ≥ 15%

Plasma expander (undefined)

PAC

57

Yonis et al. [43]

33

33

40

CMV

EEOT: ventilation interrupted for 15 s

500

15

33.3

CI ≥ 15%

Crystalloids (undefined)

PiCCO

45

Xiao-ting et al. [44]

48

48

8

CMV

Mini-FC: 100 ml in 60 s

500

15

33.3

CI ≥ 10%

Saline

PiCCO

71

Mallat et al. [45]

49

49

NS

CMV

Mini-FC: 100 ml in 60 s

500

15

33.3

CI ≥ 15%

4% albumin

PiCCO

45

Georges et al. [46]

50

50

NS

ACV(V); no SE

EEOT: ventilation interrupted for 12 s

500

15

33.3

CO ≥ 15%

Saline

TTE

56

Wilkman et al. [47]

20

20

NS

CMV

PEEP elevated from 10 to 20 cmH2O for 60–120 s

6/kg

30

NA

CO ≥ 15%

Succinilgelatine 4%

TEE

30

Jozwiak et al. [48]

30

30

14

ACV(V); no SE

EEOT: ventilation interrupted for 15 s

500

10

50

CI > 15%

Saline

PiCCO

50

Monnet et al. [23]

34

34

NS

ACV(V); SE

EEOT: ventilation interrupted for 15 s

500

10

50

CI > 15%

Saline

PiCCO

68

Myatra et al. [49]

20

30

NS

ACV(V); no SE

Vt raised up from 6 to 8 ml/kg for 1 min

7/kg

10

NA

CI > 15%

Saline

PiCCO

53

Monnet et al. [50]

54

54

NS

ACV(V); no SE

EEOT: ventilation interrupted for 15 s

500

20

25

CI ≥ 15%

Saline

PiCCO

55

  1. FC fluid challenge, CMV controlled mechanical ventilation, ACV(V) volume-assist controlled mechanical ventilation, SB spontaneously breathing patients, SE spontaneous efforts, EEOT end-expiratory occlusion test, Vt tidal volume, MV mechanical ventilation, LRM lung recruitment maneuver, RSVT respiratory systolic variation test, SAP systolic arterial pressure, PEEP positive end-expiratory pressure, CO cardiac output, CI cardiac index, SV stroke volume, SVI stroke volume index, FR fluid responsiveness, HES 6% hydroxyethyl starch 6%, TEE trans-esophageal echocardiography, TEE transthoracic echocardiography, PAC pulmonary artery catheter; NA not applicable; CardioQ, Deltex Medical Ltd., Chichester, UK; PiCCO/ProAQT, PULSION Medical Systems; FloTrac, Edwards Lifesciences, Irvine, CA, USA; NICCOMO, non-invasive continuous cardiac output, Imedex, France; PulseCO, LiDCOltg, Cambridge, UK; Modelflow, FMS, Amsterdam, the Netherlands