Quantitative assessment of cardiac load-responsiveness during extracorporeal life support: case and rationale

A. Simons,M. Lancé,K. Reesink,F. H. van der Veen,P. Weerwind,J. Maessen

Published 2010 in Journal of Cardiothoracic Surgery

ABSTRACT

We describe a case of a patient assisted by extracorporeal life support, in which we obtained the dynamic filling index, a measure for venous volume during extracorporeal life support, and used this index to assess cardiac load-responsiveness during acute reloading. While reloading, the obtained findings on cardiac pump function by the dynamic filling index were supported by trans-esophageal echocardiography and standard pressure measurement. This suggests that the dynamic filling index can be used to assess cardiac load-responsiveness during extracorporeal life support.

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