{"id":143,"date":"2011-10-22T17:45:22","date_gmt":"2011-10-22T17:45:22","guid":{"rendered":"http:\/\/emeddoc.org\/?p=143"},"modified":"2011-10-22T21:09:41","modified_gmt":"2011-10-22T21:09:41","slug":"volume-status-in-septic-shock","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=143","title":{"rendered":"Volume Status in Septic Shock"},"content":{"rendered":"<p>How do we measure the fluid status in a patient with shock? This usually measures with CVP or Ultrasound.\u00a0 CVP measurement is possible when we have a\u00a0 central line(subclavian or intra-jugular). Ultrasound brought a quick assessment of volume status or fluid <!--more-->assessment. while we are looking at IVC, if IVC collapses during inspiration , Tank is empty and patient needs fluid, if tank is full, and IVC does not collapse , patient needs pressor. These methods are not 100 % reliable, but DR. DeBlieux introduced another method to check fluid assessment in septic patient. If raising the legs of a supine patient who has an arterial line increases pulse pressure 12%-15% , this patient needs fluid bolus. Please visit that following link for more info by DR. DeBlieux.<br \/>\n<iframe loading=\"lazy\" hcb-fetch-image-from=\"http:\/\/www.youtube.com\/watch?v=bwtVgpXVd9M&amp;feature=player_embedded#!\" title=\"In Sepsis Patients, Raising Leg Can Help Assess Fluids\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/bwtVgpXVd9M?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How do we measure the fluid status in a patient with shock? This usually measures with CVP or Ultrasound.\u00a0 CVP measurement is possible when we have a\u00a0 central line(subclavian or intra-jugular). Ultrasound brought a quick assessment of volume status or fluid<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,16,11],"tags":[],"class_list":["post-143","post","type-post","status-publish","format-standard","hentry","category-pgy3","category-pgy4","category-sepsis"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/143","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=143"}],"version-history":[{"count":2,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/143\/revisions"}],"predecessor-version":[{"id":147,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/143\/revisions\/147"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=143"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}