SlideShare uma empresa Scribd logo

Haemodynamic Control in Fast-Track Surgery. CardioQ

•
•
F
fast.track
Saúde e medicinaNegóciosTecnologia
1 de 11
[object Object],Manuel Núñez Debén Division of Anesthesiology and Reanimation Meixoeiro Hospital. Vigo
Anesthetic protocol Fast-track surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Role of the Anesthesiologist in Fast-Track Surgery: From Multimodal Analgesia to Perioperative Medical Care. Anesth Analg 2007;104:1380 –96
Strict monitoring of fluid intake: a Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy Hausel J, Nygren J, Thorell A, et al.. Br J Surg 2005;92:415–21. b A Rational Approach to Perioperative Fluid Management. Chappell D, Jacob M, Hofmann-Kiefer K, Conzen P, Rehm M. Anesthesiology. 2008 Oct;109(4):723-40 Fluid intake control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on posoperative complications: comparasion of two Periopertive fluid regimens. A randomized assessor-blinded multicentre trial. Ann Surg. 2003;238:641-8 2 Chan VWS, Peng PWH, Kaszas Z, et al. A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery. Clinical outcome and cost. Anesth Analg 2001;93:1181– 4 Strict monitoring of fluid intake: ARTERIAL PRESSURE = (FLOW x RESISTANCE) Preload Contractility
CARDIOQ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery. G. MacKay, K. Fearon, A. McConnachie , M. G. Serpell , R. G. Molloy , P. J. O'Dwyer. Br J Surg 2006; 93:1469-74.
Corrected Flow Time (FTc) 330 – 360 milliseconds Peak Velocity (PV) 20 years 90 – 120 cm/sec 40 years 80 – 110 cm/sec 60 years 60 – 90 cm/sec 80 years 40 – 70 cm/sec FTc . Directly proportional to preload and inversely proportional to SVR PV y Mean Acceleration are markers of contractility and afterload I.V. (both decreasing with increasing afterload and vice versa) NORMAL VALUE
Wave of bad placement probe Heart Signal Venous signal
Pathological waves Hypovolaemia: FTc  . PV  CO  . HR  SV  Hypovolaemia + 200 cc fluid: FTc improved. Base wave  GC & VS improved Hypovolaemia + 400 cc fluid: FTc improved. Base wave  
Pathological waves Decreased afterload:  (PV & FTc) ,[object Object],[object Object],[object Object],[object Object],Increased afterload:  (FTc, PV, CO & SV)
NO YES OTHER THERAPIES AS APPROPRIATE e.g. NO • DILATORS (± MORE FLUID) IF LOW FTc, LOW PV & BP ACCEPTABLE • INOTROPES IF LOW PV & LOW BP • VASOPRESSORS IF HIGH FTc, HIGH SV, LOW BP YES NO NO MONITOR SV, FTc Treatment Algorithm suggested by Prof. Mervyn Singer UCL London. Deltex Medical 9051-5361 Issue 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],SV (& FTc) INCREASE > 10%? ORGAN HYPOPERFUSION? HYPOTENSION? CIRCULATORY OPTIMISATION? 200 ML FLUID CHALLENGE OVER 10 MINS STILL COMPROMISED? (e.g. LOW BP, OLIGURIA) PATIENT LOSING FLUID AT RATE EXCEEDING INPUT?
Limitations: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendados

PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCEPULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PAH-GHIO
 
Hemodynamic Stabilisation In Septic Shock
Hemodynamic Stabilisation In Septic ShockHemodynamic Stabilisation In Septic Shock
Hemodynamic Stabilisation In Septic Shock
chandra talur
 
Hemodynamic monitoring non invasive
Hemodynamic monitoring non invasiveHemodynamic monitoring non invasive
Hemodynamic monitoring non invasive
All india institute of medical science New delhi
 
Monitoring Modality in anesthesia
Monitoring Modality in anesthesiaMonitoring Modality in anesthesia
Monitoring Modality in anesthesia
Dr.RMLIMS lucknow
 
Lec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoringLec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoring
Ali Sheikh
 
Dr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICUDr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICU
mansoor masjedi
 
CARDIAC CATHETERISATION
CARDIAC CATHETERISATIONCARDIAC CATHETERISATION
CARDIAC CATHETERISATION
Dr. Murtaza Kamal MD,DNB,DrNB Ped Cardiology
 
Hemodynamic monitoring ppt
Hemodynamic monitoring pptHemodynamic monitoring ppt
Hemodynamic monitoring ppt
Uma Binoy
 

Recomendados

PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCEPULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PULMONARY ENDARTERECTOMY: THE PAVIA EXPERIENCE
PAH-GHIO
 
Hemodynamic Stabilisation In Septic Shock
Hemodynamic Stabilisation In Septic ShockHemodynamic Stabilisation In Septic Shock
Hemodynamic Stabilisation In Septic Shock
chandra talur
 
Hemodynamic monitoring non invasive
Hemodynamic monitoring non invasiveHemodynamic monitoring non invasive
Hemodynamic monitoring non invasive
All india institute of medical science New delhi
 
Monitoring Modality in anesthesia
Monitoring Modality in anesthesiaMonitoring Modality in anesthesia
Monitoring Modality in anesthesia
Dr.RMLIMS lucknow
 
Lec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoringLec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoring
Ali Sheikh
 
Dr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICUDr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICU
mansoor masjedi
 
CARDIAC CATHETERISATION
CARDIAC CATHETERISATIONCARDIAC CATHETERISATION
CARDIAC CATHETERISATION
Dr. Murtaza Kamal MD,DNB,DrNB Ped Cardiology
 
Hemodynamic monitoring ppt
Hemodynamic monitoring pptHemodynamic monitoring ppt
Hemodynamic monitoring ppt
Uma Binoy
 
Hemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringHemodynamic Pressure Monitoring
Hemodynamic Pressure Monitoring
Khalid
 
Cardiac catheterisatio
Cardiac catheterisatioCardiac catheterisatio
Cardiac catheterisatio
Manoj Meena
 
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
Dr. Murtaza Kamal MD,DNB,DrNB Ped Cardiology
 
Hemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaHemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep Gampa
Siddharth Pandey
 
An Introduction To Surgical Icu
An Introduction To Surgical IcuAn Introduction To Surgical Icu
An Introduction To Surgical Icu
Dang Thanh Tuan
 
Which cardiac output monitoring?
Which cardiac output monitoring?Which cardiac output monitoring?
Which cardiac output monitoring?
International Fluid Academy
 
Clinical monitoring in ICU
Clinical monitoring in ICUClinical monitoring in ICU
Clinical monitoring in ICU
abrahahailu
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
Manisha Shakya
 
Hemodynamic assessment in Emergency Department
Hemodynamic assessment in Emergency DepartmentHemodynamic assessment in Emergency Department
Hemodynamic assessment in Emergency Department
Emergency Live
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
SOUMYA SUBRAMANI
 
Monitoring of patient in intensive care unit (ICU)
Monitoring of patient in intensive care unit (ICU)Monitoring of patient in intensive care unit (ICU)
Monitoring of patient in intensive care unit (ICU)
Raj Mehta
 
Pulmonary Embolism- Diagnosis by Dr.Tinku Joseph
Pulmonary Embolism- Diagnosis by Dr.Tinku JosephPulmonary Embolism- Diagnosis by Dr.Tinku Joseph
Pulmonary Embolism- Diagnosis by Dr.Tinku Joseph
Dr.Tinku Joseph
 
Advanced hemodynamic monitoring
Advanced hemodynamic monitoringAdvanced hemodynamic monitoring
Advanced hemodynamic monitoring
Ghaleb Almekhlafi
 
Patient Monitoring
Patient Monitoring Patient Monitoring
Patient Monitoring
Khalid
 
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
College of Medicine, Sulaymaniyah
 
Physiologic Monitoring
Physiologic MonitoringPhysiologic Monitoring
Physiologic Monitoring
MD Specialclass
 
Ct1 Basic Monitoring
Ct1 Basic MonitoringCt1 Basic Monitoring
Ct1 Basic Monitoring
Andrew Ferguson
 
Fluid responsiveness in pratice
Fluid responsiveness in praticeFluid responsiveness in pratice
Fluid responsiveness in pratice
International Fluid Academy
 
noninvasive monitoring in ICU
noninvasive monitoring in ICU noninvasive monitoring in ICU
noninvasive monitoring in ICU
abel ayanaw
 
Monitoreo del Paciente Critico en UCI
Monitoreo del Paciente Critico en UCIMonitoreo del Paciente Critico en UCI
Monitoreo del Paciente Critico en UCI
Sociedad Peruana de Medicina Intensiva
 
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
Simon Pont
 
Eras fast tract peru
Eras fast tract peruEras fast tract peru
Eras fast tract peru
Ciroibarra
 

Mais conteúdo relacionado

Mais procurados

Hemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringHemodynamic Pressure Monitoring
Hemodynamic Pressure Monitoring
Khalid
 
Cardiac catheterisatio
Cardiac catheterisatioCardiac catheterisatio
Cardiac catheterisatio
Manoj Meena
 
Hemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaHemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep Gampa
Siddharth Pandey
 
An Introduction To Surgical Icu
An Introduction To Surgical IcuAn Introduction To Surgical Icu
An Introduction To Surgical Icu
Dang Thanh Tuan
 
Clinical monitoring in ICU
Clinical monitoring in ICUClinical monitoring in ICU
Clinical monitoring in ICU
abrahahailu
 
Patient Monitoring
Patient Monitoring Patient Monitoring
Patient Monitoring
Khalid
 

Mais procurados (19)

Hemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringHemodynamic Pressure Monitoring
Hemodynamic Pressure Monitoring
 
Cardiac catheterisatio
Cardiac catheterisatioCardiac catheterisatio
Cardiac catheterisatio
 
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
 
Hemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaHemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep Gampa
 
An Introduction To Surgical Icu
An Introduction To Surgical IcuAn Introduction To Surgical Icu
An Introduction To Surgical Icu
 
Which cardiac output monitoring?
Which cardiac output monitoring?Which cardiac output monitoring?
Which cardiac output monitoring?
 
Clinical monitoring in ICU
Clinical monitoring in ICUClinical monitoring in ICU
Clinical monitoring in ICU
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
 
Hemodynamic assessment in Emergency Department
Hemodynamic assessment in Emergency DepartmentHemodynamic assessment in Emergency Department
Hemodynamic assessment in Emergency Department
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
 
Monitoring of patient in intensive care unit (ICU)
Monitoring of patient in intensive care unit (ICU)Monitoring of patient in intensive care unit (ICU)
Monitoring of patient in intensive care unit (ICU)
 
Pulmonary Embolism- Diagnosis by Dr.Tinku Joseph
Pulmonary Embolism- Diagnosis by Dr.Tinku JosephPulmonary Embolism- Diagnosis by Dr.Tinku Joseph
Pulmonary Embolism- Diagnosis by Dr.Tinku Joseph
 
Advanced hemodynamic monitoring
Advanced hemodynamic monitoringAdvanced hemodynamic monitoring
Advanced hemodynamic monitoring
 
Patient Monitoring
Patient Monitoring Patient Monitoring
Patient Monitoring
 
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
 
Physiologic Monitoring
Physiologic MonitoringPhysiologic Monitoring
Physiologic Monitoring
 
Ct1 Basic Monitoring
Ct1 Basic MonitoringCt1 Basic Monitoring
Ct1 Basic Monitoring
 
Fluid responsiveness in pratice
Fluid responsiveness in praticeFluid responsiveness in pratice
Fluid responsiveness in pratice
 
noninvasive monitoring in ICU
noninvasive monitoring in ICU noninvasive monitoring in ICU
noninvasive monitoring in ICU
 

Destaque

Anaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
Anaesthesia for morbidly obese patients and bariatric surgery- Dr.SandeepAnaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
Anaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
deepmbbs04
 

Destaque (12)

Monitoreo del Paciente Critico en UCI
Monitoreo del Paciente Critico en UCIMonitoreo del Paciente Critico en UCI
Monitoreo del Paciente Critico en UCI
 
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
Paradigm Spit - Simon Pont - for #BookMap13 (July 9)
 
Eras fast tract peru
Eras fast tract peruEras fast tract peru
Eras fast tract peru
 
Enhanced recovery pathways
Enhanced recovery pathwaysEnhanced recovery pathways
Enhanced recovery pathways
 
Monitoreo hemodinamico ii
Monitoreo hemodinamico iiMonitoreo hemodinamico ii
Monitoreo hemodinamico ii
 
ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)
 
Anaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgeryAnaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgery
 
Anaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
Anaesthesia for morbidly obese patients and bariatric surgery- Dr.SandeepAnaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
Anaesthesia for morbidly obese patients and bariatric surgery- Dr.Sandeep
 
Eras ppt
Eras pptEras ppt
Eras ppt
 
Enhanced Recovery After Surgery
Enhanced Recovery After SurgeryEnhanced Recovery After Surgery
Enhanced Recovery After Surgery
 
Monitoreo hemodinámico no invasivo e invasivo - CICAT-SALUD
Monitoreo hemodinámico no invasivo e invasivo - CICAT-SALUDMonitoreo hemodinámico no invasivo e invasivo - CICAT-SALUD
Monitoreo hemodinámico no invasivo e invasivo - CICAT-SALUD
 
Monitoreo Invasivo y No Invasivo en uci
Monitoreo Invasivo y No Invasivo en uciMonitoreo Invasivo y No Invasivo en uci
Monitoreo Invasivo y No Invasivo en uci
 

Semelhante a Haemodynamic Control in Fast-Track Surgery. CardioQ

Peri-operative fluid therapy – Trends
Peri-operative fluid therapy – TrendsPeri-operative fluid therapy – Trends
Peri-operative fluid therapy – Trends
fast.track
 
02 tuong phan
02 tuong phan02 tuong phan
02 tuong phan
Duy Quang
 
Rrt in icu dr said khamis zagazig april 2018 latest
Rrt in icu dr said khamis zagazig april 2018 latestRrt in icu dr said khamis zagazig april 2018 latest
Rrt in icu dr said khamis zagazig april 2018 latest
FarragBahbah
 
Uncalibrated pulse contour derived stroke volume variation predicts[1]
Uncalibrated pulse contour derived stroke volume variation predicts[1]Uncalibrated pulse contour derived stroke volume variation predicts[1]
Uncalibrated pulse contour derived stroke volume variation predicts[1]
pbsherren
 
2009artandscienceofhemodynamicmonitoringfewphotos
2009artandscienceofhemodynamicmonitoringfewphotos2009artandscienceofhemodynamicmonitoringfewphotos
2009artandscienceofhemodynamicmonitoringfewphotos
cjani
 
2009artandscienceofhemodynamicmonitoringfewphotos (1)
2009artandscienceofhemodynamicmonitoringfewphotos (1)2009artandscienceofhemodynamicmonitoringfewphotos (1)
2009artandscienceofhemodynamicmonitoringfewphotos (1)
cjani
 
Optimzing sepsis management
Optimzing sepsis managementOptimzing sepsis management
Optimzing sepsis management
EM OMSB
 

Semelhante a Haemodynamic Control in Fast-Track Surgery. CardioQ (20)

Goal Directed Therapy2.pptx
Goal Directed Therapy2.pptxGoal Directed Therapy2.pptx
Goal Directed Therapy2.pptx
 
EuroPCR CV pipeline, Kovarnik
EuroPCR CV pipeline, KovarnikEuroPCR CV pipeline, Kovarnik
EuroPCR CV pipeline, Kovarnik
 
Peri-operative fluid therapy – Trends
Peri-operative fluid therapy – TrendsPeri-operative fluid therapy – Trends
Peri-operative fluid therapy – Trends
 
Letter 2 Dr. Paul W. Corey
Letter 2 Dr. Paul W. CoreyLetter 2 Dr. Paul W. Corey
Letter 2 Dr. Paul W. Corey
 
02 tuong phan
02 tuong phan02 tuong phan
02 tuong phan
 
Rrt in icu dr said khamis zagazig april 2018 latest
Rrt in icu dr said khamis zagazig april 2018 latestRrt in icu dr said khamis zagazig april 2018 latest
Rrt in icu dr said khamis zagazig april 2018 latest
 
Pneumoperitoneum.pptx
Pneumoperitoneum.pptxPneumoperitoneum.pptx
Pneumoperitoneum.pptx
 
Anest turp
Anest turpAnest turp
Anest turp
 
Uncalibrated pulse contour derived stroke volume variation predicts[1]
Uncalibrated pulse contour derived stroke volume variation predicts[1]Uncalibrated pulse contour derived stroke volume variation predicts[1]
Uncalibrated pulse contour derived stroke volume variation predicts[1]
 
Oesophageal Doppler Stroke Volume Optimisation
Oesophageal Doppler Stroke Volume OptimisationOesophageal Doppler Stroke Volume Optimisation
Oesophageal Doppler Stroke Volume Optimisation
 
Oesophageal Doppler Stroke Volume Optimisation
Oesophageal Doppler Stroke Volume OptimisationOesophageal Doppler Stroke Volume Optimisation
Oesophageal Doppler Stroke Volume Optimisation
 
Shock in a Trauma patient - a maxillofacial perspective
Shock in a Trauma patient - a maxillofacial perspectiveShock in a Trauma patient - a maxillofacial perspective
Shock in a Trauma patient - a maxillofacial perspective
 
Minimaly invasive hemodynamic monitoring for hepatic patients
Minimaly invasive hemodynamic monitoring for hepatic patients Minimaly invasive hemodynamic monitoring for hepatic patients
Minimaly invasive hemodynamic monitoring for hepatic patients
 
Principle of iv fluid in septic shock
Principle of iv fluid in septic shockPrinciple of iv fluid in septic shock
Principle of iv fluid in septic shock
 
2009artandscienceofhemodynamicmonitoringfewphotos
2009artandscienceofhemodynamicmonitoringfewphotos2009artandscienceofhemodynamicmonitoringfewphotos
2009artandscienceofhemodynamicmonitoringfewphotos
 
2009artandscienceofhemodynamicmonitoringfewphotos (1)
2009artandscienceofhemodynamicmonitoringfewphotos (1)2009artandscienceofhemodynamicmonitoringfewphotos (1)
2009artandscienceofhemodynamicmonitoringfewphotos (1)
 
Optimzing sepsis management
Optimzing sepsis managementOptimzing sepsis management
Optimzing sepsis management
 
Chirurgie hépatique sous perfusion hypothermique - D. Azoulay
Chirurgie hépatique sous perfusion hypothermique - D. AzoulayChirurgie hépatique sous perfusion hypothermique - D. Azoulay
Chirurgie hépatique sous perfusion hypothermique - D. Azoulay
 
Upper GI bleeding gastroenterology .pptx
Upper GI bleeding gastroenterology .pptxUpper GI bleeding gastroenterology .pptx
Upper GI bleeding gastroenterology .pptx
 
Monitoring macro and microcirculation (Joel Starkopf WSACS session ESA 2018 #...
Monitoring macro and microcirculation (Joel Starkopf WSACS session ESA 2018 #...Monitoring macro and microcirculation (Joel Starkopf WSACS session ESA 2018 #...
Monitoring macro and microcirculation (Joel Starkopf WSACS session ESA 2018 #...
 

Mais de fast.track

Doppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management Data AnalysisDoppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management Data Analysis
fast.track
 
Fast-track Colorectal Surgery in China—3 years’ Experience
Fast-track Colorectal Surgery in China—3 years’ ExperienceFast-track Colorectal Surgery in China—3 years’ Experience
Fast-track Colorectal Surgery in China—3 years’ Experience
fast.track
 
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
fast.track
 
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
fast.track
 
Preoperative Metabolic Conditioning
Preoperative Metabolic ConditioningPreoperative Metabolic Conditioning
Preoperative Metabolic Conditioning
fast.track
 
Preoperative Metabolic Conditioning
Preoperative Metabolic ConditioningPreoperative Metabolic Conditioning
Preoperative Metabolic Conditioning
fast.track
 
Simposium Madrid 051108
Simposium Madrid 051108Simposium Madrid 051108
Simposium Madrid 051108
fast.track
 
Fluid therapy and colorectal surgery Use or abuse?
Fluid therapy and colorectal surgery Use or abuse?Fluid therapy and colorectal surgery Use or abuse?
Fluid therapy and colorectal surgery Use or abuse?
fast.track
 
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
fast.track
 
Fast-track rehabilitation for elective colonic surgery in Germany
Fast-track rehabilitation for elective colonic surgery in GermanyFast-track rehabilitation for elective colonic surgery in Germany
Fast-track rehabilitation for elective colonic surgery in Germany
fast.track
 
Specifieke vragen over het maag-darm systeem
Specifieke vragen over het maag-darm systeemSpecifieke vragen over het maag-darm systeem
Specifieke vragen over het maag-darm systeem
fast.track
 
Fast Track Anesthesie Protocol Algemeen
Fast Track Anesthesie Protocol AlgemeenFast Track Anesthesie Protocol Algemeen
Fast Track Anesthesie Protocol Algemeen
fast.track
 
Fast Track Rehabilitation For Elective Colonic Surgery In Germany
Fast Track Rehabilitation For Elective Colonic Surgery In GermanyFast Track Rehabilitation For Elective Colonic Surgery In Germany
Fast Track Rehabilitation For Elective Colonic Surgery In Germany
fast.track
 
Perioperative strategy in colonic surgery
Perioperative strategy in colonic surgeryPerioperative strategy in colonic surgery
Perioperative strategy in colonic surgery
fast.track
 
2007 NSW Health Awards Entry
2007 NSW Health Awards Entry2007 NSW Health Awards Entry
2007 NSW Health Awards Entry
fast.track
 
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studieKlinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
fast.track
 
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft GuidelinesCOLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
fast.track
 
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary ResultsSpanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
fast.track
 

Mais de fast.track (20)

Doppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence baseDoppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence base
 
Doppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management Data AnalysisDoppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management Data Analysis
 
Fast-track Colorectal Surgery in China—3 years’ Experience
Fast-track Colorectal Surgery in China—3 years’ ExperienceFast-track Colorectal Surgery in China—3 years’ Experience
Fast-track Colorectal Surgery in China—3 years’ Experience
 
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?
 
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...
 
Letter 1 Dr. Paul W. Corey
Letter 1 Dr. Paul W. CoreyLetter 1 Dr. Paul W. Corey
Letter 1 Dr. Paul W. Corey
 
Preoperative Metabolic Conditioning
Preoperative Metabolic ConditioningPreoperative Metabolic Conditioning
Preoperative Metabolic Conditioning
 
Preoperative Metabolic Conditioning
Preoperative Metabolic ConditioningPreoperative Metabolic Conditioning
Preoperative Metabolic Conditioning
 
Simposium Madrid 051108
Simposium Madrid 051108Simposium Madrid 051108
Simposium Madrid 051108
 
Fluid therapy and colorectal surgery Use or abuse?
Fluid therapy and colorectal surgery Use or abuse?Fluid therapy and colorectal surgery Use or abuse?
Fluid therapy and colorectal surgery Use or abuse?
 
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
LAparoscopy and/or FAst track multimodal management versus standard care (LAF...
 
Fast-track rehabilitation for elective colonic surgery in Germany
Fast-track rehabilitation for elective colonic surgery in GermanyFast-track rehabilitation for elective colonic surgery in Germany
Fast-track rehabilitation for elective colonic surgery in Germany
 
Specifieke vragen over het maag-darm systeem
Specifieke vragen over het maag-darm systeemSpecifieke vragen over het maag-darm systeem
Specifieke vragen over het maag-darm systeem
 
Fast Track Anesthesie Protocol Algemeen
Fast Track Anesthesie Protocol AlgemeenFast Track Anesthesie Protocol Algemeen
Fast Track Anesthesie Protocol Algemeen
 
Fast Track Rehabilitation For Elective Colonic Surgery In Germany
Fast Track Rehabilitation For Elective Colonic Surgery In GermanyFast Track Rehabilitation For Elective Colonic Surgery In Germany
Fast Track Rehabilitation For Elective Colonic Surgery In Germany
 
Perioperative strategy in colonic surgery
Perioperative strategy in colonic surgeryPerioperative strategy in colonic surgery
Perioperative strategy in colonic surgery
 
2007 NSW Health Awards Entry
2007 NSW Health Awards Entry2007 NSW Health Awards Entry
2007 NSW Health Awards Entry
 
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studieKlinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
Klinisch Zorgpad Versneld Herstel Programma Fast Track / LAFA studie
 
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft GuidelinesCOLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
COLORECTAL SURGERY ENHANCED RECOVERY PROGRAMME - Draft Guidelines
 
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary ResultsSpanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Results
 

Último

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Call Girls Delhi
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
parulsinha
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
khalifaescort01
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
BhumiSaxena1
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Janvi Singh
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
parulsinha
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
chennailover
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
GENUINE ESCORT AGENCY
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Sheetaleventcompany
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
chennailover
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
perfect solution
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Dipal Arora
 

Último (20)

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 

Haemodynamic Control in Fast-Track Surgery. CardioQ

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Corrected Flow Time (FTc) 330 – 360 milliseconds Peak Velocity (PV) 20 years 90 – 120 cm/sec 40 years 80 – 110 cm/sec 60 years 60 – 90 cm/sec 80 years 40 – 70 cm/sec FTc . Directly proportional to preload and inversely proportional to SVR PV y Mean Acceleration are markers of contractility and afterload I.V. (both decreasing with increasing afterload and vice versa) NORMAL VALUE
  • 7. Wave of bad placement probe Heart Signal Venous signal
  • 8. Pathological waves Hypovolaemia: FTc  . PV  CO  . HR  SV  Hypovolaemia + 200 cc fluid: FTc improved. Base wave  GC & VS improved Hypovolaemia + 400 cc fluid: FTc improved. Base wave  
  • 9.
  • 10.
  • 11.