tag:blogger.com,1999:blog-4230162007222918868.post3525721614884639382..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: AKI and Fluid OverloadGearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-4230162007222918868.post-556927459817074642011-09-17T08:55:21.381-04:002011-09-17T08:55:21.381-04:00I think that fluid overload is an under appreciate...I think that fluid overload is an under appreciated problem in the ICU. Surgical and other patients are volume resuscitated and develop severe volume overload. Hypotension is frequently treated with IVF and pressers when I have found that cautious and close monitoring of cardiac hemodynamics is required to avoid volume overload so we do not have to initiate early CRRT. Cardiac output can actually decrease with LV dilatation and removing volume will actually improve cardiac output by decreasing LV size and improve stroke volume.<br /><br />Great post.<br /><br />Salil Gupta MD<br /><br />Syracuse NYSalil Guptahttps://www.blogger.com/profile/14106183171086180858noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-27291236980991415042011-09-07T08:15:16.665-04:002011-09-07T08:15:16.665-04:00Excellent post. Thank you.
While %FO may "me...Excellent post. Thank you.<br /><br />While %FO may "merely" correlate with illness severity, that may be precisely why it could be a good tool for deciding when to start RRT. Correlation in epidemiology is not causality, but this is not an epidemiological problem and we are not looking for causality - we are looking for a biomarker that tell us when to act.<br /><br />I agree that %FO is not fully evaluated and shouldn't be considered the last word in RRT triggers just yet. But, don't abandon it just because it may not be causal!<br /><br />Nice work. Thanks<br /><br />Benjamin Littenberg, MD<br />Henry and Carleen Tufo Professor of Medicine<br />University of VermontBen Littenberghttps://www.blogger.com/profile/06057049894764818725noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-63982157215507795412011-09-06T21:02:28.227-04:002011-09-06T21:02:28.227-04:00Great post. Any brief words on how one calculates ...Great post. Any brief words on how one calculates the %FO in adults? Interested to hear if you think this number might have other clinical uses besides the context above.Cheelerhttps://www.blogger.com/profile/15391360023992991827noreply@blogger.com