Hi there, For our 6 hour bundle measure for reassessment of fluid status. We are using the Non-invasive cardiac output monitor. This is a tool we use to determine if the patient may tolerate additional fluid by measuring SVI and CI all non-invasive. We found this to be more accurate than the stagnate CVP. We usually will bolus the patient with 30cc/kg, wait one hour and then conduct this test. If we find a 10% change (greater) in the SVI, we know the patient can tolerate at least 250-500cc normal saline. In addition, we use this first to determine fluid status for a HD, HF and a patient with a low EF. I personally have used this tool for a HD patient and successful provided the patient with 2.5 liters and the patient's outcome was positive. If you have any questions, please email me. Lisa Dumont Sepsis Coordinator SouthCoast hospital group [email protected]
-----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, January 22, 2014 3:07 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 93, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: 6 hr bundle (Wendy A. Nieman) 2. Re: 6 hr bundle (Cormack, Patricia (WS)) ---------------------------------------------------------------------- Message: 1 Date: Fri, 17 Jan 2014 18:37:30 +0000 From: "Wendy A. Nieman" <[email protected]> To: DanaMarie Smith <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] 6 hr bundle Message-ID: <914034fb349c4d4e9436177ad9011a6e300...@nodcmstmbx07.no.trinity-health.org> Content-Type: text/plain; charset="iso-8859-1" We sometimes use SVV with an arterial Flow-Trac device Wendy Wendy Nieman RN ICU and Medicine Quality Coordinator Quality Benchmarking & External Reporting Practice Improvement Department Phone: 734-712-1151 Fax: 734-712-7099 St. Joseph Mercy Hospital Ann Arbor Michigan 48104 [email protected]<mailto:[email protected]> This is a confidential professional/peer review and quality improvement document of Saint Joseph Mercy Health Systam and the Trinity Health system of providers. It is protected from disclosure pursuant to the provisions of MCL 333.20175, 333.21513, MCL 333.21515, MCL 333.16222, MCL 331.531, MCL 331.533, MCL 330.1749, MCL 330.1143a, and other state laws as well as the Federal Patient Safety and Quality Improvement Act, 42 U.S.C 299b-21-b-26 and other federal laws. Unauthorized disclosure or duplication is absolutely prohibited. ________________________________ From: [email protected] [[email protected]] on behalf of DanaMarie Smith [[email protected]] Sent: Thursday, January 16, 2014 1:52 PM To: [email protected] Subject: [Sepsis Groups] 6 hr bundle Hi Everyone, I sent this yesterday but not sure if I did it right. Anyway I want to know if there are any hospitals using different methods of measuring fluid resuscitation in 6 hr bundle instead of CVP and SVC. Just trying to get some ideas. I would greatly appreciate it. Thank You, Dana Dana Marie Smith RN Clinical Data Analyst Quality/Performance Improvement Phone # 215- 612-4888 Fax # 215-612-4463 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140117/666e8b2c/attachment.html> ------------------------------ Message: 2 Date: Fri, 17 Jan 2014 12:59:37 -0600 From: "Cormack, Patricia (WS)" <[email protected]> To: "DanaMarie Smith" <[email protected]>, <[email protected]> Subject: Re: [Sepsis Groups] 6 hr bundle Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Hi Dana, If you have equipment that measures hemodynamics from an arterial waveform, monitoring the stroke volume in response to fluid resuscitation is very helpful. Can determine fluid responsiveness. If SV increases with fluid challenge, pt is fluid responsive. Hope that helps. Patty Cormack From: [email protected] [mailto:[email protected]] On Behalf Of DanaMarie Smith Sent: Thursday, January 16, 2014 12:53 PM To: [email protected] Subject: [Sepsis Groups] 6 hr bundle Hi Everyone, I sent this yesterday but not sure if I did it right. Anyway I want to know if there are any hospitals using different methods of measuring fluid resuscitation in 6 hr bundle instead of CVP and SVC. Just trying to get some ideas. I would greatly appreciate it. Thank You, Dana Dana Marie Smith RN Clinical Data Analyst Quality/Performance Improvement Phone # 215- 612-4888 Fax # 215-612-4463 This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of West Suburban Medical Center. This footer also confirms that this email message has been scanned for the presence of computer viruses. -------------- next part -------------- An HTML attachment was scrubbed... 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