A 55-year-old man is ventilated and sedated on ICU following a large anterior STEMI treated with primary PCI. He is on noradrenaline 0.15 mcg/kg/min a...

Question

A 55-year-old man is ventilated and sedated on ICU following a large anterior STEMI treated with primary PCI. He is on noradrenaline 0.15 mcg/kg/min and dobutamine 5 mcg/kg/min. An arterial line shows stroke volume variation (SVV) of 18% during controlled mechanical ventilation at TV 8 mL/kg. He is in sinus rhythm. What does the SVV of 18% suggest?

Accepted Answer

The patient is likely to be fluid responsive

Answer

The patient has right ventricular failure

Answer

The patient is fluid overloaded

Answer

The SVV is unreliable due to the inotropic support

Answer

The patient has cardiac tamponade

uk-fficm MCQ (SBA): Fluid Responsiveness