Advanced Haemodynamic Monitoring

PiCCO-guided resuscitation of shock

There are three main variable to look at when one is using the PICCo to guide the resuscitation of ashock. It comes down to a simple question: do I give them more fluids, or do I crank up the norad?

The three cardinal variables:

  • Cardiac Index (CI)
  • Intrathoracic blood volume index (ITBVI)
  • Extravascular lung water index (EVLWI)

Look at the cardiac index.

  • Is it high or low?

Low cardiac index: what is the ITBVI?

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