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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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sábado, 19 de diciembre de 2015

Respuesta a fluidos

Critical Care Practitioner - By Downham J - November 25, 2015
"Following are two reviews of studies employing the passive leg raise, combined with a form of stroke volume monitoring to predict fluid responsiveness. The reviews use CASP diagnostic tool as the appraisal format.
The bottom line
  • Half of patients who have signs of haemodynamic compromise will not be fluid responsive.
  • Measuring the difference in stroke volume or cardiac before and after a passive leg raise is a highly sensitive and specific test of fluid responsiveness.
  • The mode of cardiac output monitoring probably does not matter as it is the percentage change that is important rather than a specific number."

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