Episode 185: Fluid Responsiveness in the OR with Lee Goeddel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Jed Wolpaw

Health & Fitness

4.7 • 1.5K Ratings

🗓️ 13 October 2020

⏱️ 40 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this 185th episode I welcome back Dr. Lee Goeddel to discuss assessment of fluid responsiveness in the operating room. References: Michard F. Changes in Arterial Pressure during Mechanical Ventilation. Anesthesiology. 2005;103(2):419-428. doi:10.1097/00000542-200508000-00026 Using Dynamic Variables to Guide Perioperative Fluid ManagementAzriel Perel, M.D.Anesthesiology October 2020, Vol. 133, 929–935. https://doi.org/10.1097/ALN.0000000000003408 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:18.0	Hello and welcome back to Ackrack. I'm Jed Wolpaw and I am thrilled to have back with me today the one and only Dr Lee Gadell, Dr. Gadell as listeners will remember I'm sure is a cardiac
0:27.2	anesthesiologist and an intensivist and the program director for our critical care fellowship here at Johns Hopkins and most importantly a stellar all around guy.
0:38.0	It's a pleasure to have him back on the show. We're going to talk about fluid responsiveness, one of the most requested topics from the audience
0:45.3	and Lee.
0:46.3	I'm so happy that you were able to do this.
0:47.9	Welcome back to the show.
0:48.9	Jed, it's great to be back and to be with all of your listeners.
0:54.4	Always fun to talk and join ACRAC.
0:57.2	Awesome.
0:58.0	So let's jump right in.
1:00.2	We're going to talk about fluid responsiveness.
1:02.0	So let me ask you off the top.
1:03.8	What do we mean?
1:05.3	When we say is a patient fluid responsive,
1:07.7	what does that mean?
1:08.4	How would you define it?
1:10.0	So I'm going to pause right there and set some groundwork and maybe some ground rules.
1:17.0	Please do.
1:18.0	So all of you excited about food responsiveness are ultimately honed in on the right practice and that is
1:28.2	thoughtful hemodynamic management of your patients undergoing anesthesia in critical care.
1:34.0	Fluid responsiveness is a huge part of that and continuing to evaluate your patient for fluid responsiveness.
1:44.4	But the ground rules, I think are these.
	...

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