Resuscitation and Volume/fluid Responsiveness

Resuscitation in Sepsis using Fluid/Volume Responsiveness

This post is a work in progress blog post for my lecture titled "Resuscitation and Fluid Responsiveness". In the lecture, I discuss fluid resuscitation in sepsis in volume responsiveness. After all, only 50% of critically ill patients are fluid responsive and 66% of patients in septic shock are volume overloaded on hospital day 1 (Douglas, …

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Central Venous Pressure (CVP) in the ICU: Does it predict fluid responsiveness? Nope.

Dinosaurs still roam the earth, I know this. They are slowly and surely retiring, though. I trained in the days where Manny Rivers and the Surviving Sepsis Campaigns pushed for Early-Goal Directed Therapy were king. Hey, there was a reason why it was so successful, EGDT decreased in-hospital mortality from 46.5% to 30.5% in that …

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Central Venous Pressure (CVP): Known Limitations in 1962

To my knowledge, this is the second article looking at central venous pressure (CVP). It was published back in 1962. This paper piggybacks off of, what I believe to be the first paper on CVP that I covered here. Ultimately, I read all these papers as I was creating a lecture that is titled "Resuscitation …

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Central Venous Pressure/Right Atrial Pressure: The Origin

I’m working on a talk where I take a trip through memory lane regarding resuscitation. We were all trained to use central venous pressure or right atrial pressure (CVP or RAP) to guide resuscitation and it remains on the Surviving Sepsis guidelines today. This post is about the origin of central venous pressure.Where does the …

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