SCCM Resource Library-The Targeted Approach to Volume Resuscitation: Looking for Signs of Extravascular Fluid or Venous Congestion With Ultrasonography

The Targeted Approach to Volume Resuscitation: Looking for Signs of Extravascular Fluid or Venous Congestion With Ultrasonography

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Video Transcription

Video Summary

The speaker, a critical care cardiologist, discusses the importance of understanding physiology to manage complex patients effectively, focusing on venous congestion. They stress that physiology is often correct, but a misinterpretation leads to poor medical decisions. Most practices emphasize cardiac output and mean arterial pressure, but the speaker argues for more attention on venous return. They explain venous congestion's role in deteriorating organ function, emphasizing kidney and liver implications. The speaker introduces non-invasive methods like Doppler flow patterns to better assess venous congestion, such as portal vein, intrarenal venous Doppler, and hepatic vein Doppler. These methods can help differentiate between volume overload and other conditions affecting organs. By recognizing the specific causes of congestion or hemodynamic issues, treatment can be more targeted. The speaker concludes by advocating for a systematic approach to problem-solving in critical care and integrating physiological insights with clinical practice.

Asset Caption

Two-Hour Concurrent Session | Be FOCUSED: Ultrasound Support for Resuscitation of Patients With Sepsis and Septic Shock

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

venous congestion

physiology

critical care

Doppler flow

organ function

hemodynamic issues

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