We are exploring technology that allows us to non invasively monitor hemodynamics ( co/CI, SV,SVR,) we are also exploring opportunity to monitor CO/CI, SV.. with the use of an arterial line.
I have information on each if anyone would be interested , we could talk off line. John Brady RN,BSN,CCRN,CNRN Quality Nurse Manager St. Mary Medical Center 760 242 2311 ( 5369) From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, February 15, 2013 6:26 AM To: [email protected]; [email protected]; [email protected] Cc: [email protected] Subject: Re: [Sepsis Groups] Betr.: Re: volume required Dr J : CVP is another useful measurement........regardeless of your opinion which I do not agree What I do agree is that passive leg raising is very helpfull, the most important is that one should use all the tools available Regards From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network ----- Reply message ----- De: "Jo Krewinkel" <[email protected]<mailto:[email protected]>> Para: <[email protected]<mailto:[email protected]>>, "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>>, <[email protected]<mailto:[email protected]>> CC: <[email protected]<mailto:[email protected]>> Asunto: Betr.: Re: [Sepsis Groups] volume required Fecha: vie., feb. 15, 2013 4:37 a. m. +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=* 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 [email protected]<mailto:[email protected]> 045-5767010 [cid:[email protected]] >>> [email protected]<[email protected]<mailto:[email protected]%[email protected]>> >>> 2/12/2013 3:17 >>> 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]<mailto:[email protected]>> Para: "sandeep varma" <[email protected]<mailto:[email protected]>> CC: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[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 On Feb 9, 2013, at 1:15 AM, sandeep varma <[email protected]<mailto:[email protected]>> wrote: hello all i have a query regarding fluid volume requirement in sepsis. often have seen blood pressure improvement after fluid bolus but only to see it fall back after few minutes. the postulated theory behind this was leakage of given fluid into interstitial causing intravascular depletion again. my concern is that how much of fluid can be given this way? will this lead on to pulmonary edema and interstitial edema without much helping in building up intra vascular volume and aiding in stabilizing blood pressure? sandeep varma thriuvananthapuram kerala india _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ________________________________ Notice from St. Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure.
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