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Making the case for stroke volume
variation: Fluid or NOT?
Jan M. Headley
1.
Making the case for stroke volume variation: Fluid or NOT?
2.
Does this Patient NEED Fluid??
3.
WE Have a Problem...
4.
Static indices are poor predictors
5.
Pressure Based Parameters
6.
Pressures do not predict fluid responsiveness
7.
Dynamic Preload Predicting Parameters
8.
SPV, PPV, SVV Defined
9.
SVV: The Basic Formula
10.
Preload Responsiveness: SVV
11.
Pulsus Paradoxus Paradoxus: The Origin of SVV
12.
Dynamic Response to Preload
13.
F- S Curve for Preload Responsiveness
14.
Two Major Indications of SVV:
15.
Fluid Responsive??
16.
“The Clinical Value”
17.
Useful but has some limitations
18.
Spontaneously Breathing Patients
19.
Spontaneously Breathing Patients cont.
20.
PLR??
21.
PLR Effects on Starling Curve
22.
How to Perform a PLR
23.
Is the SV Adequate?
24.
SV – SVV F F-S Curve
25.
Is the SV Adequate?
26.
SV – SVV F F-S Curve
27.
Is the SV Adequate?
28.
SV – SVV F F-S Curve
29.
SVV: Pre PLR
30.
SVV: Post PLR
31.
SVV: Post PLR cont.
32.
SV/SVV Algorithm
33.
So did this patient need fluid?
34.
Making the case for stroke volume variation: Fluid or NOT?
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Jan M. Headley is an employee of Edwards Lifesciences. Any quotes used in this material are taken from independent third-party publications and are not intended to imply that such third party received or endorsed any of the products of Edwards Lifesciences.
CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.
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