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miércoles, 30 de marzo de 2016

US Assessment of Fluid Responsiveness

By Ben McVane - 24 March, 2016
"Tanking up the volume-depleted hypotensive patient requires a fine balance between under-resuscitation and the pulmonary edema of overdoing it. “Dynamic” measures of fluid responsiveness are technically complex and likely inaccessible to most ED physicians, so consequently much research and discussion has offered ultrasound techniques of varying degrees of complexity for assessing volume status. Here’s a recently proposed algorithm (Journal of Critical Care, citation below) for you to utilize on your next non-ventilated patient that incorporates the growing body of literature on the topic"
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Ref: Lee C, Kory P, Arntfield R. “Development of a fluid resuscitation protocol using inferior vena cava and lung ultrasound.” Journal of Critical Care. 31 (2016) 96–00