容量负荷试验课件.pptVIP

Fluid Challenge Revisited Bin Du, MD Medical ICU, Peking Union Medical College Hospital Why Fluid Challenge acutely ill patients frequently require fluid repletion hypovolemia external loss: bleeding, gastrointestinal, urinary tracts, skin internal loss: extravasation of blood, exudation/transudation of fluids Relative hypovolemia: increases venous capacitance sepsis, drugs volume repletion essential restore critical levels of cardiac output and arterial pressure, more normal perfusion of vital organs and tissues Why Fluid Challenge Why Fluid Challenge Clinical examination: limited sensitivit