Korean J Anesthesiol.  2019 Oct;72(5):429-440. 10.4097/kja.19305.

Fluid responsiveness in the pediatric population

• Lee JH
• Kim EH
• Jang YE
• Kim HS
• Kim JT

• KMID: 2465742
• DOI: http://doi.org/10.4097/kja.19305

Abstract

It is challenging to predict fluid responsiveness, that is, whether the cardiac index or stroke volume index would be increased by fluid administration, in the pediatric population. Previous studies on fluid responsiveness have assessed several variables derived from pressure wave measurements, plethysmography (pulse oximeter plethysmograph amplitude variation), ultrasonography, bioreactance data, and various combined methods. However, only the respiratory variation of aortic blood flow peak velocity has consistently shown a predictive ability in pediatric patients. For the prediction of fluid responsiveness in children, flow- or volume-dependent, noninvasive variables are more promising than pressure-dependent, invasive variables. This article reviews various potential variables for the prediction of fluid responsiveness in the pediatric population. Differences in anatomic and physiologic characteristics between the pediatric and adult populations are covered. In addition, some important considerations are discussed for future studies on fluid responsiveness in the pediatric population.

Keyword

Blood pressure; Cardiac output; Children; Doppler ultrasonography; Fluid therapy; Hemodynamic monitoring; Oximetry; Pulse wave analysis

MeSH Terms

Adult
Blood Pressure
Cardiac Output
Child
Fluid Therapy
Humans
Oximetry
Plethysmography
Pulse Wave Analysis
Stroke Volume
Ultrasonography
Ultrasonography, Doppler