Non-invasive assessment of fluid responsiveness to guide fluid therapy in patients with sepsis in the emergency department: a prospective cohort study.
Nienke K KoopmansRenate StolmeijerBen C SijtsmaPaul A van BeestChristiaan E BoermaNic J VeegerEwoud Ter AvestPublished in: Emergency medicine journal : EMJ (2021)
The results of the present study demonstrate that in patients with sepsis in the absence of shock, three out of four patients do not demonstrate a clinically relevant increase in CI after a standardised fluid challenge. Non-invasive CO monitoring in combination with a PLR test has the potential to identify patients who might benefit from fluid resuscitation and may contribute to a better tailored treatment of these patients.