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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Case 1<br />
� Female, 60 years<br />
� Acute congestive heart failure with respiratory failure<br />
� Endotracheal <strong>in</strong>tubation, admission ICU<br />
� Diagnosis: Acute coronary syndrome<br />
� Transfer to VUMC for PCI<br />
� Instent thrombosis LAD -> PCI and re-stent<strong>in</strong>g<br />
� Haemodynamically unstable. Insertion IABP<br />
� Admission ICU, severe respiratory problems<br />
� Ventilation <strong>in</strong> prone position after <strong>in</strong>sertion PiCCO catheter<br />
� F i O 2 100%, PEEP 22 cm H 2 O. BGA: 7.12/68/70/22/-8/0.93<br />
� S<strong>in</strong>us tachycardia 134 b/m<strong>in</strong>, MAP 100 mmHg, CVD 11<br />
mmHg, diuresis 0 ml/h<br />
� Norep<strong>in</strong>ephr<strong>in</strong>e 0.84 µg/kg/m<strong>in</strong>
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