A 60-year-old man on ICU is being resuscitated for septic shock. He has received 30 mL/kg crystalloid. The team wishes to assess fluid responsiveness ...

Question

A 60-year-old man on ICU is being resuscitated for septic shock. He has received 30 mL/kg crystalloid. The team wishes to assess fluid responsiveness using echocardiography. He is mechanically ventilated in sinus rhythm. Which echocardiographic measurement best predicts fluid responsiveness?

Accepted Answer

IVC distensibility index (in mechanically ventilated patients)

Answer

Left ventricular ejection fraction (LVEF)

Answer

Inferior vena cava (IVC) diameter - absolute measurement

Answer

E/A ratio on mitral valve Doppler

Answer

Right ventricular systolic pressure estimated from TR jet

uk-fficm MCQ (SBA): Fluid Responsiveness

A 60-year-old man on ICU is being resuscitated for septic shock. He has received 30 mL/kg crystalloid. The team wishes to assess fluid responsiveness using echocardiography. He is mechanically ventilated in sinus rhythm. Which echocardiographic measurement best predicts fluid responsiveness?