Keep EVLW in mind - PULSION Medical Systems SE
Keep EVLW in mind - PULSION Medical Systems SE
Keep EVLW in mind - PULSION Medical Systems SE
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Casus 1<br />
• Vrouw, 60 jaar (presentatie ziekenhuis <strong>in</strong> regio)<br />
• Acuut cardiaal en respiratoir falen<br />
• Intubatie en opname IC aldaar<br />
• Diagnose: Acuut coronair syndroom<br />
• Overname VUmc voor PCI<br />
• In-stent thrombose LAD � PCI en re-stent<strong>in</strong>g<br />
• Hemodynamisch <strong>in</strong>stabiel waarvoor IABP<br />
• Bij opname IC alhier, ernstige respiratoire problemen<br />
• Beadem<strong>in</strong>g <strong>in</strong> buikligg<strong>in</strong>g na <strong>in</strong>brengen PiCCO catheter<br />
• FiO2100%, PEEP 22 cmH20. pH 7.12 / pCO2 68 mmHg / pO2 70 mmHg / Bic 22 mmol/L /<br />
BE -8 mmol/L / sat 93%<br />
• S<strong>in</strong>ustachycardie 134/m<strong>in</strong>, MAP 65 mmHg, CVD 11 mmHg, diurese<br />
0 ml/uur<br />
• Noradrenal<strong>in</strong>e 0.84 μg/kg/m<strong>in</strong>
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