If the PICC line tip is in the SVC then the sample and CVP measurement is accurate if the wave form is of good quality. We use the NICOM as a substitute for the CVP using the fluid responsiveness as a guide to give or not give more fluid. It is actually better than the CVP. We also use the Cardiac Index rather than the ScvO2 using a normal or high value as being adequate but realizing that if the metabolic rate is high the ScvO2 could still be low.
Terry P. Clemmer, MD Director: Critical Care Medicine LDS Hospital Professor of Medicine University of Utah School of Medicine Salt Lake City, Utan 84143 Work Phone: 801-408-3661 Work Fax: 801-408-1668 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Robyn Haddock Crosswhite Sent: Tuesday, February 04, 2014 1:57 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 95, Issue 1 In a septic shock patient, does a PICC line count as far as for SCVO2 ? Is it accurate and will NICOM suffice to replace CVP monitoring ? Thanks Robyn Crosswhite -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, February 04, 2014 2:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 95, Issue 1 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: flu and choice of antibiotic or not to give one? (Sue Beswick) ---------------------------------------------------------------------- Message: 1 Date: Mon, 3 Feb 2014 21:32:49 +0000 From: Sue Beswick <[email protected]> To: "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] flu and choice of antibiotic or not to give one? Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" With our severe sepsis flu admits, a number are being admitted without a broad spectrum antibiotics - only getting tamiflu. We aren't using the sepsis database yet but hope to soon - would that be a fail? Thanks Sue Sue Beswick RN, MS, CCNS, CCRN Clinical Nurse Specialist - MSICU Greenville Health System 701 Grove Road l Greenville, SC 29605 Office: 864-455-4884 If not this, then what? If not now, then when? If not me, then who? - John Lewis -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, January 31, 2014 3:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 94, Issue 8 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. Sepsis tool APACHE question (Dian Nuxoll) 2. severe sepsis screening tool question (Dian Nuxoll) ---------------------------------------------------------------------- Message: 1 Date: Thu, 30 Jan 2014 18:00:54 +0000 From: Dian Nuxoll <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] Sepsis tool APACHE question Message-ID: <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> Content-Type: text/plain; charset="us-ascii" Under "oxygenation", am I correct to assume this pertains to intubated patients only? Under "FIO2 0.5 or more, A-aDO"-is that the same as A-a Grad? What is this exactly? "< .05, use PAo"-is this the same as PO2?, if not, what is it and how do I find it? Appreciate your help! Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 Follow EvergreenHealth on Facebook<http://www.facebook.com/evergreenhospital.org> and Twitter<http://twitter.com/> | www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> Please note: My e-mail address has changed to [email protected] DISCLAIMER: EvergreenHealth Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message or you may call EvergreenHealth in Kirkland, WA U.S.A at (425)899-1740. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment.html> -------------- next part -------------- A non-text attachment was scrubbed... Name: Picture (Device Independent Bitmap) 1.jpg Type: image/jpeg Size: 2471 bytes Desc: Picture (Device Independent Bitmap) 1.jpg URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment-0001.jpg> ------------------------------ Message: 2 Date: Thu, 30 Jan 2014 23:00:41 +0000 From: Dian Nuxoll <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] severe sepsis screening tool question Message-ID: <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> Content-Type: text/plain; charset="us-ascii" Regarding #3. On screen 2: in evaluating the acute lung injury, does the patient have to be intubated for this or just have an ABG? Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 Follow EvergreenHealth on Facebook<http://www.facebook.com/evergreenhospital.org> and Twitter<http://twitter.com/> | www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> Please note: My e-mail address has changed to [email protected] DISCLAIMER: EvergreenHealth Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message or you may call EvergreenHealth in Kirkland, WA U.S.A at (425)899-1740. -------------- next part -------------- An HTML attachment was scrubbed... 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