SCCM Podcast SCCM Pod-516: Bedside Practices in Hemodynamic Management
Jun 18, 2024
In this engaging discussion, Maurizio Cecconi, an anesthesiologist and intensive care specialist at Humanitas Research Hospital, dives into the integration of clinical judgment with advanced technology in hemodynamic management. He highlights the importance of individualized fluid challenges and the cautious use of fluids and vasopressors. Dr. Cecconi also explores the potential of big data and AI in refining treatment approaches while emphasizing global access to care. This conversation blends innovative practices with foundational knowledge for better patient outcomes.
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Clinical Examination First
- Prioritize clinical judgment and physical examination in hemodynamic assessment, even with advanced monitoring tools available.
- Use technology to refine treatment decisions and guide fluid management, but always return to clinical assessment.
Standardized Fluid Challenges
- Fluid challenges should be approached with a standardized method within a team to minimize bias and ensure consistent care.
- This involves establishing a common language and consensus on how to define a fluid challenge and its expected response.
Tailored Fluid Challenges
- Tailor fluid challenge volume and rate based on individual patient characteristics, like vascular tone.
- Consider factors such as vasodilation when determining the appropriate fluid bolus.