SCCM Resource Library-Bedside Monitoring Techniques to Determine Fluid Intolerance

Bedside Monitoring Techniques to Determine Fluid Intolerance

Video Transcription

Video Summary

The video discusses bedside monitoring techniques to identify fluid intolerant patients and determine when fluid removal may be necessary. It emphasizes the importance of recognizing when fluids are no longer helpful and may be harming a patient. The physical exam, including assessment of pulmonary edema, JVD, and peripheral edema, is unreliable. CVP monitoring can indicate elevated filling pressures, but requires an invasive central line. Ultrasound is a more effective tool and can be used to evaluate lung congestion, diastolic dysfunction, and venous congestion. The VEXIS scoring system combines multiple ultrasound findings to assess the degree of venous congestion and guide de-resuscitation. Overall, recognizing and managing venous congestion is crucial for improving ICU outcomes.

Asset Subtitle

Pharmacology, Resuscitation, 2023

Asset Caption

Type: one-hour concurrent | Stop the Salinity: Knowing When to Stop Fluid Expansion and Remove Fluid in the Critically Ill (SessionID 1229855)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Resuscitation

Membership Level Professional

Membership Level Select

Tag Fluids Resuscitation Management

Year 2023

Keywords

bedside monitoring techniques

fluid intolerant patients

fluid removal

ultrasound

venous congestion

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