Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis

La elastancia arterial dinámica (Eadyn) ha sido investigada por su capacidad para predecir la hipotensión durante la disminución de vasopresores. Nuestro estudio se centró en evaluar el rendimiento de Eadyn en el contexto de pacientes adultos críticamente enfermos ingresados en la unidad de cuidados...

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Fecha de publicación:: 2024

Institución:: Universidad del Rosario

Repositorio:: Repositorio EdocUR - U. Rosario

Idioma:: eng

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repository_id_str
dc.title.none.fl_str_mv	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
dc.title.TranslatedTitle.none.fl_str_mv	Valor predictivo de elastancia arterial dinámica para el retiro de soporte vasopresor una revision sistematica y meta análisis
title	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
spellingShingle	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis Elastancia arterial dinámica Retiro soporte vasopresor Criticamente enfermo EaDyn Vasopresor UCI Cuidado crítico Terapia de fluidos Presion de pulso Volumen sistólico Revisión sistematica Critical care Fluid therapy Pulse pressure Stroke volume Blood flow velocity predictive value of tests Systematic review
title_short	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
title_full	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
title_fullStr	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
title_full_unstemmed	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
title_sort	Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
dc.contributor.advisor.none.fl_str_mv	Alvarado Sánchez, Jorge Iván
dc.subject.none.fl_str_mv	Elastancia arterial dinámica Retiro soporte vasopresor Criticamente enfermo EaDyn Vasopresor UCI Cuidado crítico Terapia de fluidos Presion de pulso Volumen sistólico Revisión sistematica
topic	Elastancia arterial dinámica Retiro soporte vasopresor Criticamente enfermo EaDyn Vasopresor UCI Cuidado crítico Terapia de fluidos Presion de pulso Volumen sistólico Revisión sistematica Critical care Fluid therapy Pulse pressure Stroke volume Blood flow velocity predictive value of tests Systematic review
dc.subject.keyword.none.fl_str_mv	Critical care Fluid therapy Pulse pressure Stroke volume Blood flow velocity predictive value of tests Systematic review
description	La elastancia arterial dinámica (Eadyn) ha sido investigada por su capacidad para predecir la hipotensión durante la disminución de vasopresores. Nuestro estudio se centró en evaluar el rendimiento de Eadyn en el contexto de pacientes adultos críticamente enfermos ingresados en la unidad de cuidados intensivos, independientemente del diagnóstico.
publishDate	2024
dc.date.accessioned.none.fl_str_mv	2024-11-12T15:58:05Z
dc.date.available.none.fl_str_mv	2024-11-12T15:58:05Z
dc.date.created.none.fl_str_mv	2024-10-31
dc.type.none.fl_str_mv	bachelorThesis
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv	Meta-análisis
dc.type.spa.none.fl_str_mv	Artículo
dc.identifier.uri.none.fl_str_mv	https://repository.urosario.edu.co/handle/10336/44069
url	https://repository.urosario.edu.co/handle/10336/44069
dc.language.iso.none.fl_str_mv	eng
language	eng
dc.relation.uri.none.fl_str_mv	https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-024-01345-8
dc.rights.*.fl_str_mv	Attribution-NonCommercial-ShareAlike 4.0 International
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dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv	Attribution-NonCommercial-ShareAlike 4.0 International Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv	8 pp
dc.format.mimetype.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Universidad del Rosario
dc.publisher.department.none.fl_str_mv	Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv	Especialización en Medicina Crítica y Cuidado Intensivo
publisher.none.fl_str_mv	Universidad del Rosario
institution	Universidad del Rosario
dc.source.bibliographicCitation.none.fl_str_mv	Monge García MI, Gil Cano A, Gracia Romero M. Dynamic arterial elastance to predict arterial pressure response to volume loading in preload-dependent patients. Crit Care. 2011;15:R15. Pinsky MR. Defining the boundaries of bedside pulse contour analysis: dynamic arterial elastance. Crit Care. 2011;15:120. Alvarado Sánchez JI, Caicedo Ruiz JD, Diaztagle Fernández JJ et al. Unveiling the Significance of Dynamic Arterial Elastance: An Insightful Approach to Assessing Arterial Load in an Endotoxin Shock Model. Shock 2023. Monge Garcia MI, Guijo González P, Saludes Orduña P et al. Dynamic arterial elastance during experimental endotoxic septic shock: a potential marker of Cardiovascular Efficiency. Front Physiol 2020; 11. Monge García MI, Jian Z, Hatib F, et al. Dynamic arterial elastance as a ventriculo-arterial Coupling Index: an experimental animal study. Front Physiol. 2020;11:1–16. Monge García MI, Guijo González P, Gracia Romero M, et al. Effects of arterial load variations on dynamic arterial elastance: an experimental study. Br J Anaesth. 2017;118:938–46. Guinot P-G, Bernard E, Levrard M, et al. Dynamic arterial elastance predicts mean arterial pressure decrease associated with decreasing norepinephrine dosage in septic shock. Crit Care. 2015;19:1–7. McInnes MDF, Moher D, Thombs BD, et al. Preferred reporting items for a systematic review and Meta-analysis of Diagnostic Test Accuracy studies the PRISMA-DTA Statement. JAMA - J Am Med Association. 2018;319:388–96. Whiting PF, Rutjes AWS, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155:529–36. Yang B, Mustafa RA, Bossuyt PM, et al. GRADE Guidance: 31. Assessing the certainty across a body of evidence for comparative test accuracy. J Clin Epidemiol. 2021;136:146–56. Rutter CM, Gatsonis CA. A hierarchical regression approach to meta-analysis of diagnostic test accuracy evaluations. Stat Med. 2001;20:2865–84. Fischer JE, Bachmann LM, Jaeschke R. A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med. 2003;29:1043–51. Huedo-Medina TB, Sánchez-Meca J, Marín-Martínez F, et al. Assessing heterogeneity in meta-analysis: Q statistic or I 2 index? Psychol Methods. 2006;11:193–206. Nguyen M, Abou-Arab O, Bar S, et al. Echocardiographic measure of dynamic arterial elastance predict pressure response during norepinephrine weaning: an observational study. Sci Rep. 2021;11:2853. Moses LE, Shapiro D, Littenberg B. Combining independent studies of a diag- nostic test into a summary Roc curve: data-analytic approaches and some additional considerations. Stat Med. 1993;12:1293–316. Persona P, Tonetti T, Valeri I, et al. Dynamic arterial elastance to Predict Mean arterial pressure decrease after reduction of Vasopressor in septic shock patients. Life. 2022;13:28. Liang FM, Yang T, Dong L, et al. [The predictive value of dynamic arterial elas- tance in arterial pressure response after norepinephrine dosage reduction in patients with septic shock]. Zhonghua Nei Ke Za Zhi. 2017;56:344–8. Bar S, Leviel F, Abou Arab O, et al. Dynamic arterial elastance measured by uncalibrated pulse contour analysis predicts arterial-pressure response to a decrease in norepinephrine. Br J Anaesth. 2018;121:534–40. Monge García MI, Santos A, Del Diez B, et al. Noradrenaline modifies arterial reflection phenomena and left ventricular efficiency in septic shock patients: a prospective observational study. J Crit Care. 2018;47:280–6. García MIMIM, Romero MG, Cano AG, et al. Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a validation study. Crit Care. 2014;18:626. Bar S, Leviel F, Abou Arab O, et al. Dynamic arterial elastance measured by uncalibrated pulse contour analysis predicts arterial-pressure response to a decrease in norepinephrine [Internet]. Br J Anaesth. 2018;121:534–40. Luetrakool P, Morakul S, Tangsujaritvijit V, et al. Dynamic arterial elastance for predicting mean arterial pressure responsiveness after fluid challenges in acute respiratory distress syndrome patients [Internet]. J Med Assoc Thai. 2020;103:646–51. Zhou X, Pan W, Chen B, et al. Predictive performance of dynamic arterial elastance for arterial pressure response to fluid expansion in mechanically ventilated hypotensive adults: a systematic review and meta-analysis of observational studies. Ann Intensive Care. 2021;11:119. Lanchon R, Nouette-Gaulain K, Stecken L, et al. Dynamic arterial elastance obtained using arterial signal does not predict an increase in arterial pressure after a volume expansion in the operating room. Anaesth Crit Care Pain Med. 2017;36:377–82. de Courson H, Boyer P, Grobost R, et al. Changes in dynamic arterial elastance induced by volume expansion and vasopressor in the operating room: a prospective bicentre study. Ann Intensive Care. 2019;9:117. Seo H, Kong Y-G, Jin S-J, et al. Dynamic arterial Elastance in Predicting arterial pressure increase after Fluid Challenge during Robot-assisted laparoscopic prostatectomy. Medicine. 2015;94:e1794. Bar S, Nguyen M, Abou-Arab O et al. Dynamic arterial elastance is Associated with the Vascular Waterfall in patients treated with norepinephrine: an obser- vational study. Front Physiol 2021; 12. Andrei S, Bar S, Nguyen M, et al. Effect of norepinephrine on the vascular waterfall and tissue perfusion in vasoplegic hypotensive patients: a prospec- tive, observational, applied physiology study in cardiac surgery. Intensive Care Med Exp. 2023;11:52. Guinot P-G, Huette P, Bouhemad B, et al. A norepinephrine weaning strategy using dynamic arterial elastance is associated with reduction of acute kidney injury in patients with vasoplegia after cardiac surgery: a post-hoc analysis of the randomized SNEAD study. J Clin Anesth. 2023;88:111124. Guinot PG, Abou-Arab O, Guilbart M, et al. Monitoring dynamic arterial elas- tance as a means of decreasing the duration of norepinephrine treatment in vasoplegic syndrome following cardiac surgery: a prospective, randomized trial. Intensive Care Med. 2017;43:643–51.
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spelling	Alvarado Sánchez, Jorge Iván6c3c0472-3b6c-44cb-ba44-689b8af769be-1Salazar Ruíz, SergioAlvarado Sánchez, Jorge IvanCaicedo Ruiz, Juan DanielDiaztagle Fernández, Juan JoséCárdenas Bolivar, Yenny RocioCarreño Hernandez, Fredy LeonardoMora Salamanca, Andrés FelipeMontañez Nariño, Andrea ValentinaStozitzky Ríos, María ValentinaSantacruz Herrera, CarlosOspina Tascón, Gustavo AdolfoPinsky, Michael R.Especialista en Medicina Crítica y Cuidado IntensivoMaestríaFull time36990f7d-1b6a-4a98-b735-5c4e824fcf7d-175748bff-4463-4162-aa8b-d07f7db15cc9-18fb4f9d3-468d-4b1c-9f40-533415c8d3f3-12ce567de-78f7-4f37-b8e7-f8b5ea5206f3-16e5b57ba-58c3-46fc-a0b8-67fdf3a99424-1dedea681-c0dc-4a7b-97fc-57c4b1903802-107a70e79-3e06-4fa4-b856-594038e0c3cb-1ca48a153-ac5c-4d66-8cda-600f8b534b36-169c8f18b-2b3d-4ae9-8d8f-cdf1b60afdd6-1c2177ca6-ad47-4bf5-bbfe-26c31f607434-18905c315-1489-4162-bf82-3fb831ebb094-19f31ca82-a62f-418c-b433-56d8dd0571fe-12024-11-12T15:58:05Z2024-11-12T15:58:05Z2024-10-31La elastancia arterial dinámica (Eadyn) ha sido investigada por su capacidad para predecir la hipotensión durante la disminución de vasopresores. Nuestro estudio se centró en evaluar el rendimiento de Eadyn en el contexto de pacientes adultos críticamente enfermos ingresados en la unidad de cuidados intensivos, independientemente del diagnóstico.Background Dynamic arterial elastance (Eadyn) has been investigated for its ability to predict hypotension during the weaning of vasopressors. Our study focused on assessing Eadyn’s performance in the context of critically ill adult patients admitted to the intensive care unit, regardless of diagnosis. Main body Our study was conducted in accordance with the Preferred Reported Items for Systematic Reviews and Meta-Analysis checklist. The protocol was registered in PROSPERO (CRD42023421462) on May 26, 2023. We included prospective observational studies from the MEDLINE and Embase databases through May 2023. Five studies involving 183 patients were included in the quantitative analysis. We extracted data related to patient clinical characteristics, and information about Eadyn measurement methods, results, and norepinephrine dose. Most patients (76%) were diagnosed with septic shock, while the remaining patients required norepinephrine for other reasons. The average pressure responsiveness rate was 36.20%. The synthesized results yielded an area under the curve of 0.85, with a sensitivity of 0.87 (95% CI 0.74–0.93), specificity of 0.76 (95% CI 0.68–0.83), and diagnostic odds ratio of 19.07 (95% CI 8.47–42.92). Subgroup analyses indicated no variations in the Eadyn based on norepinephrine dosage, the Eadyn measurement device, or the Eadyn diagnostic cutoff to predict cessation of vasopressor support. Conclusions Eadyn, evaluated through subgroup analyses, demonstrated good predictive ability for the discontinuation of vasopressor support in critically ill patients.8 ppapplication/pdfhttps://repository.urosario.edu.co/handle/10336/44069engUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en Medicina Crítica y Cuidado Intensivohttps://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-024-01345-8Attribution-NonCommercial-ShareAlike 4.0 InternationalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2Monge García MI, Gil Cano A, Gracia Romero M. Dynamic arterial elastance to predict arterial pressure response to volume loading in preload-dependent patients. Crit Care. 2011;15:R15.Pinsky MR. Defining the boundaries of bedside pulse contour analysis: dynamic arterial elastance. Crit Care. 2011;15:120.Alvarado Sánchez JI, Caicedo Ruiz JD, Diaztagle Fernández JJ et al. Unveiling the Significance of Dynamic Arterial Elastance: An Insightful Approach to Assessing Arterial Load in an Endotoxin Shock Model. Shock 2023.Monge Garcia MI, Guijo González P, Saludes Orduña P et al. Dynamic arterial elastance during experimental endotoxic septic shock: a potential marker of Cardiovascular Efficiency. Front Physiol 2020; 11.Monge García MI, Jian Z, Hatib F, et al. Dynamic arterial elastance as a ventriculo-arterial Coupling Index: an experimental animal study. Front Physiol. 2020;11:1–16.Monge García MI, Guijo González P, Gracia Romero M, et al. Effects of arterial load variations on dynamic arterial elastance: an experimental study. Br J Anaesth. 2017;118:938–46.Guinot P-G, Bernard E, Levrard M, et al. Dynamic arterial elastance predicts mean arterial pressure decrease associated with decreasing norepinephrine dosage in septic shock. Crit Care. 2015;19:1–7.McInnes MDF, Moher D, Thombs BD, et al. Preferred reporting items for a systematic review and Meta-analysis of Diagnostic Test Accuracy studies the PRISMA-DTA Statement. JAMA - J Am Med Association. 2018;319:388–96.Whiting PF, Rutjes AWS, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155:529–36.Yang B, Mustafa RA, Bossuyt PM, et al. GRADE Guidance: 31. Assessing the certainty across a body of evidence for comparative test accuracy. J Clin Epidemiol. 2021;136:146–56.Rutter CM, Gatsonis CA. A hierarchical regression approach to meta-analysis of diagnostic test accuracy evaluations. Stat Med. 2001;20:2865–84.Fischer JE, Bachmann LM, Jaeschke R. A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med. 2003;29:1043–51.Huedo-Medina TB, Sánchez-Meca J, Marín-Martínez F, et al. Assessing heterogeneity in meta-analysis: Q statistic or I 2 index? Psychol Methods. 2006;11:193–206.Nguyen M, Abou-Arab O, Bar S, et al. Echocardiographic measure of dynamic arterial elastance predict pressure response during norepinephrine weaning: an observational study. Sci Rep. 2021;11:2853.Moses LE, Shapiro D, Littenberg B. Combining independent studies of a diag- nostic test into a summary Roc curve: data-analytic approaches and some additional considerations. Stat Med. 1993;12:1293–316.Persona P, Tonetti T, Valeri I, et al. Dynamic arterial elastance to Predict Mean arterial pressure decrease after reduction of Vasopressor in septic shock patients. Life. 2022;13:28.Liang FM, Yang T, Dong L, et al. [The predictive value of dynamic arterial elas- tance in arterial pressure response after norepinephrine dosage reduction in patients with septic shock]. Zhonghua Nei Ke Za Zhi. 2017;56:344–8.Bar S, Leviel F, Abou Arab O, et al. Dynamic arterial elastance measured by uncalibrated pulse contour analysis predicts arterial-pressure response to a decrease in norepinephrine. Br J Anaesth. 2018;121:534–40.Monge García MI, Santos A, Del Diez B, et al. Noradrenaline modifies arterial reflection phenomena and left ventricular efficiency in septic shock patients: a prospective observational study. J Crit Care. 2018;47:280–6.García MIMIM, Romero MG, Cano AG, et al. Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a validation study. Crit Care. 2014;18:626.Bar S, Leviel F, Abou Arab O, et al. Dynamic arterial elastance measured by uncalibrated pulse contour analysis predicts arterial-pressure response to a decrease in norepinephrine [Internet]. Br J Anaesth. 2018;121:534–40.Luetrakool P, Morakul S, Tangsujaritvijit V, et al. Dynamic arterial elastance for predicting mean arterial pressure responsiveness after fluid challenges in acute respiratory distress syndrome patients [Internet]. J Med Assoc Thai. 2020;103:646–51.Zhou X, Pan W, Chen B, et al. Predictive performance of dynamic arterial elastance for arterial pressure response to fluid expansion in mechanically ventilated hypotensive adults: a systematic review and meta-analysis of observational studies. Ann Intensive Care. 2021;11:119.Lanchon R, Nouette-Gaulain K, Stecken L, et al. Dynamic arterial elastance obtained using arterial signal does not predict an increase in arterial pressure after a volume expansion in the operating room. Anaesth Crit Care Pain Med. 2017;36:377–82.de Courson H, Boyer P, Grobost R, et al. Changes in dynamic arterial elastance induced by volume expansion and vasopressor in the operating room: a prospective bicentre study. Ann Intensive Care. 2019;9:117.Seo H, Kong Y-G, Jin S-J, et al. Dynamic arterial Elastance in Predicting arterial pressure increase after Fluid Challenge during Robot-assisted laparoscopic prostatectomy. Medicine. 2015;94:e1794.Bar S, Nguyen M, Abou-Arab O et al. Dynamic arterial elastance is Associated with the Vascular Waterfall in patients treated with norepinephrine: an obser- vational study. Front Physiol 2021; 12.Andrei S, Bar S, Nguyen M, et al. Effect of norepinephrine on the vascular waterfall and tissue perfusion in vasoplegic hypotensive patients: a prospec- tive, observational, applied physiology study in cardiac surgery. Intensive Care Med Exp. 2023;11:52.Guinot P-G, Huette P, Bouhemad B, et al. A norepinephrine weaning strategy using dynamic arterial elastance is associated with reduction of acute kidney injury in patients with vasoplegia after cardiac surgery: a post-hoc analysis of the randomized SNEAD study. J Clin Anesth. 2023;88:111124.Guinot PG, Abou-Arab O, Guilbart M, et al. Monitoring dynamic arterial elas- tance as a means of decreasing the duration of norepinephrine treatment in vasoplegic syndrome following cardiac surgery: a prospective, randomized trial. Intensive Care Med. 2017;43:643–51.instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURElastancia arterial dinámicaRetiro soporte vasopresorCriticamente enfermoEaDynVasopresorUCICuidado críticoTerapia de fluidosPresion de pulsoVolumen sistólicoRevisión sistematicaCritical careFluid therapyPulse pressureStroke volumeBlood flow velocity predictive value of testsSystematic reviewPredictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysisValor predictivo de elastancia arterial dinámica para el retiro de soporte vasopresor una revision sistematica y meta análisisbachelorThesisMeta-análisisArtículohttp://purl.org/coar/resource_type/c_7a1fEscuela de Medicina y Ciencias de la SaludBogotáORIGINALPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdfPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdfapplication/pdf1785695https://repository.urosario.edu.co/bitstreams/7a41f54f-d5ca-4cf7-a066-a121910a7bd2/download673b176545059027da2bfd6ef0a5cfb2MD54LICENSElicense.txtlicense.txttext/plain1483https://repository.urosario.edu.co/bitstreams/d0a641f2-c2b1-4b78-b573-1da61ef74e56/downloadb2825df9f458e9d5d96ee8b7cd74fde6MD52CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81160https://repository.urosario.edu.co/bitstreams/fd21aecd-d0c6-4af5-a6e3-b57bb9361c3b/download5643bfd9bcf29d560eeec56d584edaa9MD53PRESERVATEPortada_Predictive_value_of_dynamic_arterial_elastance_for_vasopressor.pdfapplication/pdf123205https://repository.urosario.edu.co/bitstreams/551f9004-18ee-4849-afa7-4001494ffdeb/downloadb656b3fc7b422ff15c3adea06d957753MD55TEXTPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdf.txtPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdf.txtExtracted texttext/plain32759https://repository.urosario.edu.co/bitstreams/1db65c37-4fe8-46c8-a6ba-029074770f64/download8612e715bccff1ef9dcce5d49dd006dbMD56THUMBNAILPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdf.jpgPredictive_value_of_dynamic_arterial_elastance_for_vasopressor_withdrawal_a_systematic_review_and_meta-analysis-2-9.pdf.jpgGenerated Thumbnailimage/jpeg4046https://repository.urosario.edu.co/bitstreams/e09f70a4-b3ba-4337-85ee-bcc2b20a5c80/downloade3cc1d63f020b2299aa69719a35cf0b9MD5710336/44069oai:repository.urosario.edu.co:10336/440692024-11-13 03:01:38.311http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-ShareAlike 4.0 Internationalhttps://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.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

Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis

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