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Hemodynamics Management

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LV apical thrombus

Case of eldrly male with DM, HTX.

came with bil scattered embolic stroke


153 Views

Dynamic Maneuvers and Their Diagnostic Value

  • Vt Challenge:

  • A transient increase in Vt from 6 mL/kg to 8 mL/kg for one minute, with a PPV increase ≥3.5%, suggests preload responsiveness.

  • Benefits include simplicity and minimal equipment requirements.

  • Threshold variability and false positives in ACP remain concerns.

  • End-Expiratory Occlusion Test:

  • A 15-second interruption of ventilation at end-expiration increases preload, and a rise in cardiac output ≥5% confirms preload responsiveness.

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Moutaz Saleh
Moutaz Saleh
Oct 23, 2024

Late systolic reversal with blunted systolic flow indicating high RA pressure with big A wave makes it due to either tricuspid stenosis or complete heart block

Portal vein Doppler with normal D and S waves

Portal vein Doppler with mild variability

renal vein Doppler with discontinuous biphasic flow

@Ibrahim Ameen

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