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Fluid responsiveness…will your echo help?! #FOAMed #FOAMcc #POCUS
10 DicThe Conundrum…
Your patient is dry….or so the night docs tell you, having had it drummed into them for the past few hours into the morning by the nursing staff. How are you going to sort this, is there a bigger issue with the patient, do they need the magic pressers, just IV fluid…..or, do you reach for the good old Echo probe???
Those of us who are echo obsessed would obviously jump in with this modality immediately…the knobologists path! But are we doing this in preference to other things and what are it’s merits in assessment off a suspected volume depleted patient?
In critically ill patients at risk for organ failure, fluids can be friend or foe. We all want to increase cardiac output and oxygen delivery, but some patients just act up and you see worsened or no change in cardiac output, oedema, worsening ventilatory parameters and mortality! This blog…
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