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Department of Internal Medicine, University of Iowa, 200 Hawkins Drive, C33-GH, Iowa City, IA 52246, USA. gregory-a-schmidt@uiowa.edu
Dynamic predictors are clearly superior to static pressures in predicting whether a patient will respond to a fluid bolus. Hand-carried ultrasound (HCUS) can measure changes in blood flow velocity in the brachial artery that parallel arterial pulse pressure variation. The potential for HCUS to guide fluid therapy non-invasively must overcome problems of sensitivity and applicability.
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