Mallemat: The Art and Science of Fluid Responsiveness
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Transcript of Mallemat: The Art and Science of Fluid Responsiveness
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Leggé del
CuoreMaestrini
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DarioMaestrini
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NormalContraction
Increased!Contractility
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Frank Starling
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Decrease Inotropy
Increased Inotropy
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…but not !one drop!more!”
…give all !the fluid !
they need…“
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Fluid Responsive
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Static Dynamic
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Static Dynamic
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Invasive
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Steve Waugh
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Deficit or Excess Blood Volume
CVP!mmHg
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Non-Invasive
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?
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IVC ~ CVP
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Static
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Positive Pressure Release
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P!P!V
ulseressureariation
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ExpirationInspiration
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Maximum - Minimum Average
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13%
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13%>
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Sinus
8cc/kg
Synchrony
PEEPRV
Abdominal Pressure
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Distensibility!Index
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Positive Pressure Release
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Expiration
Inspiration
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Distensibility Index
Maximum - Minimum Average
12%
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Distensibility IndexMaximum - Minimum
Minimum
18%
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84%
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4%
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Sub-Aortic!Peak!Velocity
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Maximum - Minimum Average
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12%
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27%
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9%
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17%
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Expiratory Occlusion Test
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Passive Leg
Raise
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SV
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LVOT!
Diameter
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Stroke Distance
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Velocity Time Integral
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3.14 x r2 x VTI
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SV
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%12
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Dynamic
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Art Science&