Tools for Fluid Responsiveness: One-Minute Journal Club-ish

211 views May 30, 2022

eddyjoemd.com

Script: This is a one-minute journal club-ish. This is not medical advice. Do not trust me. Read the article for yourself by clicking the link. Hat tip to the authors: Xavier Monnet and Jean-Louis Teboul are legends in this space. This paper was published on May 25th, 2022. We don't want to drown our patients. Assessing for fluid responsiveness is just good medicine. How do we go about it, though? Here are some strategies. I will create videos like this on each of these as time permits. #1 Passive leg raising. #2 End-expiratory occlusion testing #3 Pulse pressure and stoke volume variation testing #4 Tidal volume challenge #5 IVC measurements #6 Mini-fluid challengwe with 100cc Although the most important part of the article is where the authors admit limitations to all this There's no perfect way to manage fluid status in patients. We are still figuring this out.