Jan M. Headley - First: Using PLR & SVV to Optimize Volume

1.	Fluid First: Using PLR & SVV to Optimize Volume
2.	WE Have a Problem Problem...
3.	Static indices are poor predictors
4.	Pressure Based Parameters
5.	Osman CCM 2007
6.	Dynamic Preload Predicting Parameters
7.	SPV, PPV, SVV Defined
8.	SVV: The Basic Formula
9.	1st Option for Preload Responsiveness: SVV
10.	Pulsus Paradoxus: The Origin of SVV
11.	Dynamic Response to Preload
12.	Airway Pressure – Arterial Waveforms
13.	Starling Curves
14.	F-S Curve for Preload Responsiveness
15.	SV to SVV Relationship
16.	SV to SVV Relationship cont.
17.	Two Major Indications of SVV
18.	“The Clinical Value”

19.	Useful but has some limitations
20.	Issue of Predicting Fluid Responsiveness
21.	clinical Investigations in Critical Care
22.	PLR??
23.	Hemodynamic Effects of PLR
24.	PLR Effects on Starling Curve
25.	How to Perform a PLR
26.	PLR vs Trendelenburg
27.	AJCC 2005;14:364-368
28.	Monnet 2007
29.	Monnet 2007 cont.
30.	SVV Assesses Response to Fluid Therapy
31.	Initial SVV
32.	SVV after Fluid
33.	Severe Hypovolemic Event
34.	SVV shows responds to fluid
35.	SVV: Pre and Post PLR
36.	Fluid First: Using PLR & SVV to Optimize Volume