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Podcast 161 – The New Fluid Assessment in Sepsis with Jean-Francois Lanctot


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Jean-Francois Lanctot along with his partner in crime, Maxime Valois, has markedly advanced the field of resuscitative ultrasound. The two of the them also created Echo-Guided Life Support (EGLS) and the Shock Echo app.

Today, Jean-Francois and I discuss the current state of fluid assessment and treatment.
TLDR Take-Home Points

* Rule out obstruction to Venous Return (Can the Right Ventricle Take Volume Loading)
* Look for Left Ventricular Failure (Can the Left Ventricle Take Volume Loading)
* Correct Vascular Tone
* Only then, Decide if the Patient may be Fluid Responsive


Marik and Bellomo on the Fluid Management of Severe Sepsis
from Br J Anaesth
See this amazing fluid physiology lecture from the Ultrasound Podcast Site
An Integrated Approach to Ultrasound-Guided Fluid Management

 
...more
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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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