@sbABetterLeader @ICUltrasonica @icmteaching @iceman_ex @katiewiskar @ThinkingCC @khaycock2 You’re algebra is flawed. Indirect Fick methods require an estimation of VO2 precisely because it doesn’t cancel out. And ScvO2 varies with degree of sedation, MV e
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ScvO2 vs SvO2. In septic shock, no correlation, their Δ has no effect on outcome 🚫 https://t.co/cAYzq7bIpS In 🫀shock, SvO2<<< ScvO2 = ⬆️ inotrope need, ⬆️lactate, worse outcomes: https://t.co/29iMSweFKo ↪️ Worse🫀shock = inaccurate ScvO2. Don't
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Vital point. Must consider all clinical data together, including (gasp!), physical exam and their trends + understand limitations of tests. https://t.co/L0I4dY6E62
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Here's the link to the 2010 Critical Care article referenced in Dr. Mannion's PICO discussion https://t.co/MoVNbpUpCp #meded #NoonConference