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The PiCCO system The PiCCO system

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This ‘flash’ permeability of uncertain<br />

etiology (TRALI?) was associated with<br />

severe hypovolemia and improved<br />

spontaneously even though fluids were<br />

liberally administered<br />

Table 2<br />

PACU<br />

Fluid loading<br />

Postop Day 1<br />

Postop Day 2<br />

CI (l/m 2 )<br />

1.9<br />

3.75<br />

2.89<br />

3.47<br />

ITBVI (ml/m 2 )<br />

779<br />

1444 !!!<br />

972<br />

1093<br />

SVV %<br />

22<br />

15<br />

EVLW<br />

(ml/kg)<br />

EVLW /<br />

ITBV<br />

23<br />

15<br />

1.82<br />

*PEF/plasma TP ratio=1<br />

*<br />

0.73<br />

8<br />

5<br />

0.36<br />

7<br />

4<br />

0.26<br />

Clinical examination, vital signs, urine output, Hb, lactate...<br />

Preload &<br />

Fluid responsiveness<br />

EVLW<br />

Cardiac Output<br />

dP/dT, CFI, GEF, PVPI<br />

ScvO 2<br />

16

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