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Published on: August 2, 2024
Quantitative assessment of cardiac load-responsiveness during extracorporeal life support: case and rationale
Antoine P Simons1, Marcus D Lancé, Koen D Reesink
1Dept, of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands. antoinepsimons@ctc.unimaas.nl
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.
