#icushort 129: What is meant by fluid challenge? #esbicm

#icushort 129: What is meant by fluid challenge?

@TheICUChannel #esbicm

[sujitroutray]

Fluid responsiveness assessment is a challenge in itself. I use these following methods for assessment:
1. Passive leg raise test (sensitivity and specificity both above 90%)
2. Pulse pressure variation in mechanically ventilated patient
3. Stroke volume variation (I rarely use it)
4. IVC responsiveness.

There’s a JAMA article from 2016 that explains all these 4 methods beautifully. Hope this helps.

PS: Your videos are such immense source of knowledge. I’m literally binging on it. Keep ‘em coming, sir

[cat_empire_akola]

Pl z sir one video on How to check IVC with Ultrasound

[muzzusahmed]

Thank you for clarifying. Till now I knew that giving 500 to 1000ml bolus and looking for a rise in the BP. Unfortunately CO is not being monitored in my ICU.

[meetpatel]

Video on mechanical ventilation still waiting 😢

[drshrikantab]

Hello sir
patient shock on vasopressor support
Patient was fluid responsive, then at what rate fluid correction should be given?


Also in a post op surgical patient with pulmonary edema, with shock and severe anemia ( Hb 3) also cvp less (negative), after correcting pulmonary edema . Should the anemia be addressed immediately or can gradual correction of anemia be done?

[xyz]

Sir how to asses cardiac output if no echocardiography not present in icu

[amiriqbal]

So thats why my intensivist ask me to give a bolus of 200-300ml fluid and watch for bp and urine out put, whenever bp or urine output drops .