Episode 22 – Fluid Responsiveness
So you want to know if you’re patient’s going to be fluid responsive but you don’t have the fancy machine that Drs. Weingart and Marik recently talked about on EmCrit.
So what should you do? You could stand at the bedside and wait for your hospital to purchase said device, but that may not be the best for you patient. Instead, pull out ‘ol reliable, your ultrasound machine. We’re gonna teach you how to predict fluid responsiveness with just your hands and the probe (and we’re not talking about just measuring the IVC….we know you know that).
As a bonus, you’re going to learn how to measure Cardiac Output with just the ultrasound machine, and we’ll give you a demo…then you can learn EVEN MORE with Fluid Responsiveness Part II
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When you’re measuring the SV, does that not assume that the blood flow velocity in the centre of the LVOT stream is the same as near the walls? (and thus overestimate the SV)