Xavier Monnet
@prxamonnet
Professor in Intensive Care Medicine. Paris-South University hospitals
ID: 1531608354
19-06-2013 18:31:45
22 Tweet
1,1K Followers
9 Following
        
        
        
        
        
        Mercure Harijs Runģis accorhotels.mobi/fr/hotel-1298-… I am KIFFING!!!!!!!
        
        F I N A L L Y: the passive leg raising test is now included in SSC guidelines !!! ECCC-Dubai #ECCC by Xavier Monnet
                        
                    
                    
                    
                
        Mandatory to assess effect passive leg raising = continuous cardiac output monitoring availability #ECCC Xavier Monnet
                        
                    
                    
                    
                
        Risk of volume expansion= fluid overload= independent predictor poor outcome (SOAP) Xavier Monnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        How to predict fluid responsiveness: meta-analysis concludes CVP= like flipping coin Xavier Monnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        Fluid challenges up to the point when patient is no longer responsive = WRONG Xavier Monnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        IVCCI= inferior vena cava collapsibility index > 50% = fluid responsiveness @prxamonnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        Another way to assess fluid responsiveness is the EEO: end-expiratory occlusion test @prxamonnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        Interesting summary slide on how to manage fluid therapy and fluid responsiveness Xavier Monnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        DONT FORGET PLR: passive leg raising has best AUC to predict Fluid responsiveness Xavier Monnet Fluid Academy #ECCC
                        
                    
                    
                    
                
        The effect of passive leg raising needs to be assessed with cardiac output changes @prxamonnet Fluid Academy #ECCC