ICU Vivas · Perioperative critical care
Data viva — the intraoperative cardiac output
A data viva on the SV optimisation — the SV before and after each bolus, the plateau recognition, and the inotrope decision.
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Prompt
The intraoperative cardiac output data from a high-risk surgical patient, to be interpreted and the GDT decision made.
Stimulus
You are shown the intraoperative SV data from the pulse-contour monitor during the SV optimisation:
| Bolus | SV before (mL) | SV after (mL) | Change |
|---|---|---|---|
| 1 (250 mL) | 55 | 65 | +10 mL (+18%) |
| 2 (250 mL) | 65 | 72 | +7 mL (+11%) |
| 3 (250 mL) | 72 | 75 | +3 mL (+4%) |
Interpret and decide.[1]
References1ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.