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Hemodynamics Management

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67 year old man, k/c of DM, HTN, presented with CAP, after initial fluids resuscitation, his Transpulmonary thermodilution device reading (EV1000 Volume view®️) showed the following picture.



What is the best next step?

  • Give more i.v fluids?

  • Start Vasopressors?

  • Give an Inodilator (Dobutamine)?

  • Fluid off-loading?




  • MB
    Mazen Kherallah
    Talal Dahhan, MD, MMEL

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