Table 3.
Thresholds and limits of dynamic indicators
| Method | Threshold | Main limits |
|---|---|---|
|
PPV (pulse pressure variation) SVV (stroke volume variation) |
12% | Difficult to use in the following cases: patients with spontaneous breathing, patients with arrhythmia, patients with low tidal ventilation, and patients with low lung compliance |
| IVC diameter fluctuations | 12% | Difficult to use in the following cases: patients with spontaneous breathing, patients with arrhythmia, and patients with low lung compliance |
| SVC diameter fluctuations | 12–40% | Requires transesophageal echocardiography. Difficult to use in the following cases: patients with spontaneous breathing, patients with low tidal ventilation, and patients with low lung compliance |
| PLR (passive leg raising) | 10% |
Cardiac output is to be directly measured Difficult to use in the following cases: patients with lower limb defects, pregnant women, patients receiving vasoactive drugs, and patients with increased intra-abdominal pressure |
| EEO (end-expiratory occlusion test) | 5% |
Difficult to use in the following cases: non-intubated patients and patients who cannot hold their breath for more than 15 s |
| Low-dose fluid challenge (100 mL) | 6–10% | Cardiac output needs to be measured directly and accurately |
| Fluid challenge (500 mL) | 15% |
Risk of fluid overload if repeated. Cardiac output needs to be measured directly |