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PiCCO based algorithms - PULSION Medical Systems SE

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11.06.2010 / 43<br />

Summary<br />

� Several diiferent EGDT agorithms have been reported<br />

� The majority of them is <strong>based</strong> on supranormal DO 2-values and goals<br />

with respect to SvO 2 or ScvO 2<br />

� From a physiological standpoint, SvO 2 or ScvO 2 as well as variables<br />

indicating fluid responsiveness (PPV/SVV) or prelaod (GEDV) are<br />

reasonable components<br />

� Filling pressures should not be essential parts of a EGDT algorithm.<br />

� Implementation into daily clinical routine is more probable with a<br />

simple algorithm<br />

� As of to date, EGDT <strong>algorithms</strong> have only gained limited impact on<br />

our daily clinical practice

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