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PiCCO2 Nurse Booklet - PULSION Medical Systems SE

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Preload Volume instead of filling SVRI pressures 1735<br />

PCCI<br />

MAP<br />

Volume<br />

SVV 9<br />

-5 2<br />

dyn*s*cm m<br />

Preload - Volume of blood in the heart, available to be pumped<br />

l/min/m 2<br />

SVI 47<br />

ml/m 2<br />

l/min/m2 Volumetric preload parameters are superior to filling pressures (CVP / PCWP) Michard, YICM 2004<br />

ml/m 2<br />

GEDV – Global End-Diastolic Volume / GEDI – Global Organ End-Diastolic Function Volume Index<br />

• Combined diastolic volume of all four heart chambers<br />

• Adequate preload is an important prerequisite for adequate cardiac output (Frank-Starling curve)<br />

• GEDI is indexed to “predicted body surface area” *<br />

* Indexing particular SVRI parameters i.g. to the predicted body weight (EVLW) or predicted body surface area (GEDV) rather<br />

than the actual body weight or body surface area is more accurate particularly in overweight patients.<br />

ml/kg<br />

%<br />

16

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