SCCM Resource Library-Under Pressure: How to Optimize Hemodynamic Resuscitation

Video Transcription

Video Summary

In this video, the speaker discusses the challenges of hemodynamic resuscitation in sepsis patients and the need for a more integrated approach to optimize the macrocirculation and microcirculation. They discuss the controversies surrounding fluid resuscitation and vasopressor therapy and present the findings of recent studies. The speaker suggests that while both fluid-prioritized and vasopressor-prioritized approaches can be safe and effective, a more informed and personalized approach is needed to determine fluid responsiveness. They describe the use of non-invasive techniques to assess stroke volume and guide fluid administration based on individual patient's needs. The speaker also introduces the concept of optimizing the microcirculation and mentions potential areas of further research, including measuring endothelial glycocalyx shedding and addressing venous excess abnormalities. They conclude by emphasizing the importance of early identification and prompt intervention to improve outcomes in sepsis patients.

Asset Subtitle

Resuscitation, 2023

Asset Caption

Type: two-hour concurrent | Getting Better: How Hospitals Can Improve Their Sepsis Outcomes (SessionID 1229232)

Meta Tag

Content Type Presentation

Knowledge Area Resuscitation

Membership Level Professional

Membership Level Select

Tag Fluids Resuscitation Management

Year 2023

Keywords

hemodynamic resuscitation

sepsis patients

integrated approach

fluid responsiveness

microcirculation

stroke volume

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