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Hemodynamics Management

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VExUS for evaluation of venous congestion in a patient with mixed cardiogenic and distributive shock, acute respiratory failure, bibasilar infiltrates, and acute kidney injury.


Step 1: IVC diameter is 2.5 cm


Step 2: hepatic vein doppler assessment showing reversal of the systolic wave.

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Ibrahim Ameen
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Hayat Sahlool

Systolic blood pressure (SBP) variation with respiratory movement on the ventilator can be used to assess fluid responsiveness in the ICU. The higher the variation above 13% the more likely to respond to fluid. Make sure the rhythm is sinus and tidal volume on the ventilator is adequate to reflect a change in the intrathoracic pressure.

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ekseibi
Hayat Sahlool

Use of end-expiratory occlusion test in the assessment of volume status and fluid responsiveness: for more details please visit my recent blog at https://www.icureach.com/post/how-end-expiratory-occlusion-test-eeo-test-can-help-assess-fluid-responsiveness-in-icu-patients

Mohammad  Shaban
Mohamad Almousa
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ekseibi

IVC collapse with inspiration in a patient with hypovolemia

ekseibi
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