Hemodynamics - Where are We Now?

Hemodynamics - Where are We Now? is organized by ScientiaCME.

Release Date: Dec 09, 2019
Expiration Date: Dec 09, 2021

Accreditation:
Credit Designation: ScientiaCME designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Description:
Goal-directed therapy (GDT) has been taken as the gospel in critical care since the publication of Rivers et al.’s seminal paper on the topic demonstrating a mortality benefit in patients with severe sepsis and related shock back in late 2001, whose protocols were soon embraced and became ensconced in practice as standards of care, overlapping with other, high-acuity areas of medical specialty like surgery and emergency medicine. However, these initially results later became more mixed and equivocal on the whole when balanced in the context of more recent literature.

Fluid balance is paramount, and indiscriminate administration of fluids, either too conservatively or too liberally, is associated with mortality and significant morbidity in a diverse array of patient populations, and conventional, one-size-fits all approaches to fluid management do a disservice to both medical and surgical patients with dynamic needs.

Objectives:
By the end of the session the participant will be able to:
• Describe the present methods of fluid assessment
• Describe the present methods of hemodynamic monitoring
• Given patient cases, reason your approach to fluid management under various clinical circumstances