PiCCO: Hypovolaemia - How to interpret hemodynamic preload parameters of ICU patients

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In this video our Senior Clinical Application Specialist guides through hemodynamic parameters of a patient with hypovolaemia and indicates potential therapy options.
PiCCO Technology is indicated in patients who present with unstable hemodynamics and unclear volume status and in situations of therapeutic conflict. These situations are usually present in: Septic shock; Cardiogenic shock; Traumatic shock; ARDS; Severe burn injuries; Pancreatitis; High risk surgical procedures
The stroke volume variation (SVV) or pulse pressure variation (PPV) give - provided there is a continuously ventilated patient with a stable heart rhythm - information as to whether an increase in preload will also lead to an increase in stroke volume.
The higher the variation the more likely the patient is to be volume responsive. For proper use of the parameters, the following preconditions must be fulfilled: Fully controlled mechanical ventilation with a tidal volume ≥ 8 ml/kg PBW (predicted body weight); Sinus rhythm; Pressure curves free of artifacts
Medical benefits
Monitoring does not lower patient mortality or morbidity. Per se, however, it provides valuable information which should be used to set up a treatment plan and apply goaldirected therapy to the patient as early as possible.
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The shown screen(s) originates of a medical device pending 510(k) clearance and which is not available in the US.
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