An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
What is end-expiratory occlusion testing? It is a method we can use at the bedside to determine whether a patient is fluid-responsive. We have actually known about this since 2009 when Monnet et al. explored this concept in a not-free article. The full description of the heart-lung interaction that allows this to work is beyond …
Continue reading End-Expiratory Occlusion for Fluid/Volume Responsiveness
This is a work-in-progress blog post for my lecture "Resuscitation and Fluid Responsiveness." In the lecture, I discuss fluid resuscitation in sepsis and 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 et al.). Those are …
Continue reading Resuscitation in Sepsis using Fluid/Volume Responsiveness