Cite this post as:
Scott Weingart, MD FCCM. Podcast 161 – The New Fluid Assessment in Sepsis with Jean-Francois Lanctot. EMCrit Blog. Published on November 20, 2015. Accessed on April 1st 2023. Available at [https://emcrit.org/emcrit/new-fluid-assessment-sepsis/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: November 20, 2015
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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Many times I have seen a patient with undifferentiated shock and PA atheter can be so helpful in these patients. A lot of the sick pts we see have poor windows especially on a vent, or they may have a history of cardiomyopathy and without a PA catheter it can be hard to manage this specific subgroup of pts. An ultrasound has limitations and we cannot estimate pressures with this in all patients! The trials that look at PAC use do not address the pt with severe undifferentiated shock they were excluded. It can definitely be helpful we just need… Read more »
Scott,
What about the patient with an active head bleed who is also exhibiting septic shock? How aggressive should the fluid resuscitation be?