22 min listen
Rob Mac Sweeney vs Paul Marik - Predicting Fluid Responsiveness is a Waste of Time
FromCoda Change
ratings:
Length:
36 minutes
Released:
Apr 5, 2016
Format:
Podcast episode
Description
Rob MacSweeney and Paul Marik debate whether the assessment of fluid responsiveness in the resuscitation of patients with shock a waste of time? Both Marik and MacSweeney agree that many of the traditional methods of assessing patients volume status are flawed and of no value. Marik goes on to argue that the only clinically meaningful outcome that we should measure in response to a fluid challenge is Stoke Volume. In at least 50% of patients there is no improvement in stroke volume and further treatment with fluid boluses will only likely cause harm. Marik goes on to argue that we must know where our patients are position on their Frank-Starling curve to predict whether they are fluid responsive and we can assess this with passive led raise.
Released:
Apr 5, 2016
Format:
Podcast episode
Titles in the series (100)
Scott Weingart: The Essence of Critical Care: Upstairs Care, Anywhere!: Scott Weingart's call to resuscitationists. The first of three Resuscitation plenary talks. Scott's amazing Podcast is found at emcrit.org. by Coda Change