But what strikes me most is that it is becoming more and more easy to track flow changes in patient.

In their work, they present a little wearable Doppler ultrasound.

There is now no reason to justify that every mL of fluid given to improve the patient hemodynamics’ isn’t monitored accurately and that clinicians still rely on poor or inappropriate surrogates (including HR, MAP, PP, PPV, urine output, etc.)

#JIntensiveCare #Physiology #Hemodynamics #FOAMcc #Monitoring #CriticalCare

Nice work by Jon-Emile Kenny et. al emphasizing that a significant amount of fluid challenge in ED are ineffective to improve flow, therefore can’t have any positive effect at all.

https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-023-00655-6

#JIntensiveCare #FOAMcc #CriticalCare #Physiology #Hemodynamics