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Keep EVLW in mind - PULSION Medical Systems SE

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PICCO<br />

� CI 5.1 SVRI 700 -> sepsis ?<br />

� CVD 24<br />

� SVV 15%<br />

� GEDI 650<br />

� -> ondervull<strong>in</strong>g ondanks hoge CVD?<br />

� BK: enterococcen; FK: Clostridium<br />

� Aanvankelijk fluid responsive<br />

� Tevens cathecholam<strong>in</strong>es<br />

� Oligurie-anurie (12 liter VB +)<br />

� Verdere fluid resuscitatie; P/F 75 CVD 29; MAP 65; SVV<br />

13%;GEDI 780, <strong>EVLW</strong>12-> 17<br />

� Wat nog meer ?<br />

� IAP 28 door toxic megacolon wv colectomie<br />

� CVVH IAP 16; ELWI 13; P/F 175 CVD 18-22; SVV 10-

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