Dear Eamon: Enjoyed hearing from you and the others on this thread. I agree that the hemodynamic numbers are really important in order to manage fluid replacement.
We had S/G numbers and followed the PAW the most (keeping it in the 15 range).
CVP was also very important of R heart function but if you could get a S/G with a PAW you were set!! We used SVO2 alot before we got out continunous cardiac out with continuous cardiac index machine. Mostly out pts were afterload impaired (high) so
they got dobutamine and amiodarone for awhile. We diuresed according to wt gain and uop less than 30cc/hr. Lasix, of course.
Like I said, our docs knew our limitations and allowed us great latitude.
Hope you're having nice weather--I guess we'll be seeing snow soon.
Sincerely, Marianne in SLC