BP goes down and the fluids go up...that's the way it goes right?

Well it might be time to re-think those old rules of hypotension management.

Today we are joined by Michelle Albino a fantastic VTS(anesthesia) out of NYC to discuss when to bring on the fluids and when to just get your vasoactive drugs going.

Born and raised in New York, Michelle graduated from SUNY Delhi and has been an LVT since 2003. For 12 years, she was employed at the Animal Medical Center in New York City in the anesthesia and emergency departments. She served as team leader of the anesthesia department and oversaw anesthesia training and education for 5 years at the AMC. Michelle worked alongside Dr. William Muir, gathering data for his study in fluid responsiveness via the Masimo PVI for patients undergoing general anesthesia, and authored a book chapter on the topic of analgesic pharmacology for a textbook on pain management in veterinary patients.

She became board certified in anesthesia/analgesia in the fall of 2012 and started her own company where she visits hospitals to help elevate staff knowledge on anesthesia and pain management offering lectures, labs, and hands-on supervision and training. Michelle currently is employed at the ASPCA animal hospital in New York City as director of training and education. In this role she provides in-house continuing education, creates and updates medical operating procedures, provides anesthesia and pain management consults, and works to elevate onboarding and training processes utilizing adult learning techniques. In addition, she recently became virtual facilitation and training and adult learning certified.