jamst149

Thanks for not addressing anything i posted. Be it a paper or something i said.

And what would I learn about you? Don't be passive aggressive . Enlighten me

"Passive leg raise is a way to determine fluid responsiveness. Good tool. Again...people can be fluid responsive via SVV and PLR that don't need fluid. MAP and CVP used together (key word there, together) to tease that out. Moreover, using CVP with t...

"Those words really don't have any meaning for me." Thats youre downfall friend. Its a simple lack of understanding on your part. Good luck.

/thread

etco2 has no place? Podcast 162 - Assessing Fluid Responsiveness [h=3]ETCO2[/h] A PLR-induced increase in EtCO2 >5 % predicted a fluid induced increase in CI >15 % with sensitivity of 71 % (95 % confidence interval: 48–89 %) and specificity ...

Obituary: pulmonary artery catheter 197

Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. - PubMed - NCBI

And Manny Rivers was (and still is revered for his work). However medicine moves on. Thus the Sepsis protocols!

You clearly don't understand dynamic vs static indices. By defintion a CVP is static. No? By definition an ultrasound is not? No? Look up PLR and ETCO2. Look up Paul Marik and John Myburgh.

Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. - PubMed - NCBI End all be all cvp

Based on what data? Both (CVP/Swans) have generally been proven ineffective as indices of volume responsiveness and fluid status in and of itself. They are static measurements. Unless of course you are following a trend. You are better then but s...

I'd say cardiac but why not just jump in? Straight to the ICU???

the one that hears the lungs

AKA mistakes still happen and cerebral edema is the one you most want to watch for, Or do you not agree? I mean there is is also hyper/hypo kalemia. Seizures, not even sure why i'm typing this just check the up to date!

cliff calloway jon rittenberger ankur doshi jonathen elmer I can go on

Send them them to us and we will try and fix your mistakes.

Hahaha. We don't intravasc cool. We use the artic sun. At the hospital that tth was started at (and written in up to date). So you are right. They shouldn't be doing it. Cause its the rewarming phase you need to be worried about.

CVP and Swans are terrible (except in terrible heart failure). See Paul Marik

Dipping out of the bitc@hing discussions. Don't need em at work. Don't need em here either

"This is only true in cases where the pt is hypoventilating." Which is the majority of cases

And also as the article I mentioned the sodium helps absolutely nothing for the acidosis

If they need a pacemaker, place a pacemaker. Kind of simple rationale.

Not really a great pressor to use, Used a lot in the CCU to (apparently) do just what you say. However it has a lot of deleterious effects. Namely tachyarrhythmias. Its actually a terrible pressor and generally used when the cath lab doesnt want...

Wow! You people must have never dealt with some delirious pts! Must be nice. Absolutely nothing wrong for asking for a new assignment the next night. Get over yourself.