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Haney gives an erudite summary of the controversial topic of measuring and managing fluid responsiveness in shock.
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Leggé del
CuoreMaestrini
DarioMaestrini
NormalContraction
Increased!Contractility
Frank Starling
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Decrease Inotropy
Increased Inotropy
…but not !one drop!more!”
…give all !the fluid !
they need…“
Fluid Responsive
Static Dynamic
Static Dynamic
Invasive
Steve Waugh
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Deficit or Excess Blood Volume
CVP!mmHg
Non-Invasive
?
IVC ~ CVP
Static
Positive Pressure Release
P!P!V
ulseressureariation
ExpirationInspiration
Maximum - Minimum Average
13%
13%>
Sinus
8cc/kg
Synchrony
PEEPRV
Abdominal Pressure
Distensibility!Index
Positive Pressure Release
Expiration
Inspiration
Distensibility Index
Maximum - Minimum Average
12%
Distensibility IndexMaximum - Minimum
Minimum
18%
84%
4%
Sub-Aortic!Peak!Velocity
Maximum - Minimum Average
12%
27%
9%
17%
Expiratory Occlusion Test
Passive Leg
Raise
SV
LVOT!
Diameter
Stroke Distance
Velocity Time Integral
3.14 x r2 x VTI
SV
%12
Dynamic
Art Science&
