RT Book, Section
A1 Panzer, Oliver
A2 Lee, Kiwon
SR Print(0)
ID 1101644446
T1 Critical Care Ultrasound
T2 The NeuroICU Book
YR 2012
FD 2012
PB McGraw-Hill Education
PP New York, NY
SN 9780071636353
LK neurology.mhmedical.com/content.aspx?aid=1101644446
RD 2024/04/19
AB Fluid  responsiveness.  A  64-year-old  man  is  admitted  to  the  hospital  with  2  days  of  worsening  abdominal  pain  and  intermittent  fevers.  He  underwent  a  laparoscopic  cholecystectomy.  On  postoperative  day  1,  the  patient  was  hypotensive  and  oliguric.  His  blood  pressure,  heart  rate,  and  urine  output  did  not  increase  after  administration  of  3  L  of  lactated  Ringer  solution.  His  electrocardiogram  showed  a  sinus  rate  of  120  bpm,  his  blood  pressure  was  89/45  mm  Hg,  and  his  central  venous  pressure  was  12  mm  Hg.  Over  the  course  of  the  morning,  his  mental  status  deteriorated,  and  his  work  of  breathing  increased.  He  was  intubated  and  his  lungs  were  mechanically  ventilated.  You  are  called  by  the  resident  physician  in  the  postoperative  anesthesia  care  unit  and  asked  to  guide  further  management.