In many places, serial IVC ultrasounds by well trained clinicians for the purpose of monitoring resuscitation are impractical if not impossible. It would be a relatively simpler matter to resurrect basic bedside examination skills with serial estimations of CVP based upon neck vein assessments. This has served us well until a central line is placed.
Ron Elkin, MD California Pacific Medical Center San Francisco, CA 94115 On Mon, Aug 27, 2012 at 6:40 PM, Dr.Sunil T Pandya <[email protected]>wrote: > Dear Dr.Ibrahim, > IVC - US dimensions with respirations does give a fair bit of idea of > volume status in the ER. Yes, one need to get trained and develop the > skills of handling USG. Specificity increases if IVC-US is clubbed with 2D > Echo - assessing LV / RV contractility! > Sunil > *------------* > ** > *Dr.Sunil T Pandya* > * > * > *Hon. Secretary, Association of Obstetric Anaesthesiologists, India ( > www.aoaindia.com)* > *Hon. Secretary, Society of Obstetric Medicine, India* > * > * > *Head, **Dept. of Anaesthesia, Pain and Critical Care,* > *Fernandez Hospital (Health care for Women and the Newborn), ** > www.fernandezhospital.com* > * > * > *Director, Prerna Anaesthesia and Critical Care Services Pvt Ltd ( > www.prernaanaesthesia.com)* > *Hyderabad, India.* > * * > > > > On Sat, Aug 25, 2012 at 8:10 PM, Mohamed Ibrahim <[email protected]>wrote: > >> Dear Friends, does looking at the ivc diameter for patients presenting >> to the ED with sepsis give a picture of the volume status ? i hope most of >> the EDs would have an Ultrasound machine. >> Dr Mohamed Ibrahim M.D,FAAEM >> Madurai- India >> Sent from my iPhone >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> > > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
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