Critical Care

official impact factor 4.60

Commentary

Brachial artery flow velocity variation: another victory for hand-carried ultrasound?

Gregory A Schmidt

Author Affiliations

Department of Internal Medicine, University of Iowa, 200 Hawkins Drive, C33-GH, Iowa City, IA 52246, USA

Critical Care 2009, 13:195 doi:10.1186/cc8120

Published: 16 October 2009

Abstract

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.