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15 Cards in this Set
- Front
- Back
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When is PICCO more reliable? |
SVV more reliable in patients who are sedated and mechanically ventilated on a set rate without any spontaneous breaths.
Arrhythmia also affects SVV data
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Cardiac index goal |
>2.5 L/min/m2 |
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SVV goal |
<10% |
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GEDVI (Global end-diastolic volume index) goal |
>600 ml/m2 |
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Central venous O2 sats (ScvO2) goal |
> 70%
(Oximetry measured by central venous cath in RA or SVC) |
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CVP goals |
>5 mm Hg |
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Extravascular lung water index goal (ELWI) |
<10ml/Kg |
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CPP goals |
>60mm Hg |
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PbtO2 goal |
>15mm Hg |
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Cerebral microdialysis goal |
LPR <4 and glu >0.7 mmol/L |
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RCBF (brain tissue perfusion) goal |
>20ml/100g/min |
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SjvO2 jugular venous bulb oxymetry goal |
>65% |
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What is the use of GEDVI and EVLW values? |
GEDVI is a volumetric static measure of preload.
EVLW is an indicator of pulmonary edema |
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Parameters that indicate patient will be responsive to fluid challenge |
GEDVI <600ml/min2 and SVV >10% |
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Main goals to optimize CPP |
Maintain PbtO2 >15-20mmHg SjvO2 >65% LPR <40 RCBF >20ml/100g/min |
