Septic patients (Perel)
EBM de-emphasises intuition, unsystematic clinical experience & pathophysiological rationale as sufficient grounds for clinical decision making & stresses the examination of evidence from clinical research
No benefit to ARISE, PROCESS, PROMISE
Have multimodal approach to monitoring the CV system of septic patients
Solve therapeutic conflicts by choosing the least harmful option
Aim to de-escalate treatment as soon as possible and do not aim to normalise values
References:
Positive fluid balance in septic patients
A protocol-less approach to septic patient
The High Risk Surgical Patient (Zsolt)
References
Choice of monitoring device amongst anaesthetists
No benefits of SV optimisation in elective abdo surgery
Liver Failure (Wendon)
EASL Practical guidelines for the management of alcoholic liver disease
Subarachnoid Haemorrhage (Polderman)
Unsecured aneurysms rebleed 9-17% on day 0
Fever associated with poor outcomes
High incidence of CV dysfunction. Therefore would advocate CO monitoring
References