Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 185: Fluid Responsiveness in the OR with Lee Goeddel
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Oct 13, 2020 AI Snips
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Episode notes
Understanding Fluid Responsiveness
- Fluid responsiveness means that additional IV fluid will increase cardiac output and improve patient perfusion.
- It is a dynamic state to identify who benefits from fluid, not just a blood pressure increase with fluid.
Avoid Liberal Fluid Management
- Avoid liberal fluid management as it increases complications and worsens outcomes.
- Aim for a balanced fluid strategy guided by fluid responsiveness to prevent overload and organ injury.
Use Dynamic Arterial Line Variables
- Use pulse pressure variation greater than 12% as a key predictor of fluid responsiveness during controlled ventilation.
- Complement this with stroke volume and systolic pressure variation when arterial line data is available.