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Mallemat: The Art and Science of Fluid Responsiveness
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Mallemat: The Art and Science of Fluid Responsiveness

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Haney gives an erudite summary of the controversial topic of measuring and managing fluid responsiveness in shock.

Haney gives an erudite summary of the controversial topic of measuring and managing fluid responsiveness in shock.


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Transcript

  • 1. Leggé del CuoreMaestrini
  • 2. Dario Maestrini
  • 3. Normal
 Contraction Increased! Contractility
  • 4. Frank Starling
  • 5. Preload StrokeVolume
  • 6. Preload StrokeVolume Preload StrokeVolume
  • 7. Preload StrokeVolume Decrease Inotropy Increased Inotropy
  • 8. …but not ! one drop! more!” …give all ! the fluid ! they need…“
  • 9. Fluid Responsive
  • 10. Static Dynamic
  • 11. Static Dynamic
  • 12. Invasive
  • 13. Steve Waugh
  • 14. Preload StrokeVolume
  • 15. Deficit or Excess Blood Volume CVP! mmHg
  • 16. Non-Invasive
  • 17. ?
  • 18. IVC ~ CVP
  • 19. Static
  • 20. Positive Pressure Release
  • 21. P! P! V ulse ressure ariation
  • 22. ExpirationInspiration
  • 23. Maximum - Minimum Average
  • 24. 13%
  • 25. 13%>
  • 26. Sinus 8cc/kg Synchrony PEEPRV Abdominal Pressure
  • 27. Distensibility! Index
  • 28. Positive Pressure Release
  • 29. Expiration Inspiration
  • 30. Distensibility Index Maximum - Minimum Average 12%
  • 31. Distensibility Index Maximum - Minimum Minimum 18%
  • 32. 84%
  • 33. 4%
  • 34. Sub-Aortic! Peak! Velocity
  • 35. Maximum - Minimum Average
  • 36. 12%
  • 37. 27%
  • 38. 9%
  • 39. 17%
  • 40. Expiratory Occlusion Test
  • 41. Passive Leg Raise
  • 42. SV
  • 43. LVOT! Diameter
  • 44. Stroke Distance
  • 45. Velocity Time Integral
  • 46. 3.14 x r2 x VTI
  • 47. SV
  • 48. %12
  • 49. Dynamic
  • 50. Art Science&
  • 51. Thank you @criticalcarenow haney.mallemat@gmail.com