In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Jan Headley, Principal at Consultants in Acute and Critical Care. They explore the use of functional hemodynamics in the postoperative management of cardiothoracic surgical patients.

Chapters 

00:00 Intro 

01:26 Case Study 

04:28 Fluid Responsiveness, Dynamic Parameters 

07:37 Variability Within Normal Limits 

09:34 Determining Responsiveness Efficiently 

12:45 No PA-Catheter Patients 

15:35 Reassessing Values 

17:22 First Step 

19:20 No-Fluid Patient 

20:27 Stroke Volume Trends 

21:13 Key Takeaways 

The discussion includes a case study illustrating how functional hemodynamics can guide clinical decisions in this context. They delve into the concepts of fluid management and fluid responsiveness, comparing dynamic parameters and static parameters, and the importance of increasing stroke volume. Key topics also include pulse pressure variation, stroke volume variation, variability, and delta stroke volume. The conversation further covers techniques such as the passive leg raise maneuver and the pulmonary occlusive maneuver.

Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don’t miss next month’s episode!

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