Patient is 11 months of age Impaired conscious level Very dehydrated Cold peripheries Prolonged cap refill Weak peripheral pulses. But he was also malnourished. The question then is “how much and how quickly can fluids be given”?

1. Dehydration – Fluid Optimization
Presentation
Patient is 11 months of age
Impaired conscious level
Very dehydrated
Cold peripheries
Prolonged cap refill
Weak peripheral pulses.
But he was also malnourished.
The question then is “how much and how quickly can fluids be given”?
www.uscom.com.au The Measure of Life

2. Dehydration – Fluid Optimization
Treatment
Fluid boluses
Result CO 0.09 - 0.65
SV 0.8 - 6.3 CI 0.3 - 2.2
SVI 2.7 - 21 SVR 40,000 - 3297
www.uscom.com.au The Measure of Life

3. Dehydration – Fluid Optimization
SVI 2.7 - 21 - 31 (Typical 36-45)
CO 0.09 - 0.65 - 0.96 (Typical 2.5-3.5)
CI 0.3 - 2.2 - 3.2 (Typical 4.2-5.5)
SVRI 12,000 - 9891 - 1096 (Typical 800-1200)
www.uscom.com.au The Measure of Life

4. Dehydration – Fluid Optimization
Summary
“We were using the USCOM in particular to look at his
CO and SVR to see if we were improving things or
making matters worse.”
Conclusion
USCOM confirmed individual response to therapy and
inspired confidence in the decision of fluid loading.
www.uscom.com.au The Measure of Life