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+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=*
Antwoord gewenst Bij gelegenheid +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=* Why don't you use Passive Leg Rising to see if a patient is fluid responsive, easy to use without any complication of overfilling and we all know that CVP is not the right measurement to see if fluid works. So please stop using this as a measurement for fluid-responsiviness
J Krewinkel
RN ICU, circulation Practitioner
Atrium MC Parkstad
the Netherlands
Met vriendelijke groet,
J. Krewinkel Circulation Practitioner Atrium MC Parkstad 045-5767010
Fluid challenge is one of the most dificult things to do....sometimes you just need 1 l of cristaloids on others you will use as much as 5 l.....as it was mentioned above the clinical response is the goal....o others you will need more tools like central venous pressure, svo2 Even measure the diameter of inferior cava vein all these to estimate where are you standing..... Hope it helps Juan pataro md instituto argentino de riñon y transplante From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network ----- Reply message ----- De: "Rich Levrault" <[email protected]> Para: "sandeep varma" <[email protected]> CC: "[email protected]" <[email protected]> Asunto: [Sepsis Groups] volume required Fecha: dom., feb. 10, 2013 10:59 a. m. Fluid should be given until it fails to produce a clinically appropriate response. Pulmonary edema is sometimes a necessary evil.
Sent from Rich's iPhone
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