Fluid challenge is one of the most dificult things to do....sometimes you just
need 1 l of cristaloids on others you will use as much as 5 l.....as it was
mentioned above the clinical response is the goal....o others you will need
more tools like central venous pressure, svo2
Even measure the diameter of inferior cava vein all these to estimate where are
you standing.....
Hope it helps
Juan pataro md
instituto argentino de riñon y transplante
From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network
----- Reply message -----
De: "Rich Levrault" <[email protected]>
Para: "sandeep varma" <[email protected]>
CC: "[email protected]" <[email protected]>
Asunto: [Sepsis Groups] volume required
Fecha: dom., feb. 10, 2013 10:59 a. m.
Fluid should be given until it fails to produce a clinically appropriate
response. Pulmonary edema is sometimes a necessary evil.
Sent from Rich's iPhone
On Feb 9, 2013, at 1:15 AM, sandeep varma <[email protected]> wrote:
hello alli have a query regarding fluid volume requirement in sepsis. often
have seen blood pressure improvement after fluid bolus but only to see it fall
back after few minutes. the postulated theory behind this was leakage of given
fluid into interstitial causing intravascular depletion again. my concern is
that how much of fluid can be given this way? will this lead on to pulmonary
edema and interstitial edema without much helping in building up intra vascular
volume and aiding in stabilizing blood
pressure?sandeep
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