Quantitative assessment of cardiac load-responsiveness during extracorporeal life support: case and rationale |
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| Authors: | Antoine P Simons Marcus D Lancé Koen D Reesink Frederik H van der Veen Patrick W Weerwind Jos G Maessen |
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| Affiliation: | (1) Dept. of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands;(2) Dept. of Anesthesiology and Pain Treatment/Dept. of Intensive Care Medicine, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands;(3) Dept. of Biomedical Engineering/Biophysics, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands |
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| 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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