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Haney Mallemat – the art and science of fluid responsiveness

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  1. Great talk Haney. Just curious as to why you did not mention other non-invasive methods to measure SV before and after the PLR other than using Echo, e.g. the NICOM or the FloTrac? Also be interested in your experience with these other sensors/monitors.

    June 10, 2014
  2. whoops, not the FloTrac, I meant the ClearSight finger monitor. So either NICOM or ClearSight or any others you know of.

    June 10, 2014
    • haney mallemat #

      Hi Anand….thanks for the question.

      Honestly, did not mention because gave a separate talk at SMACC completely on non-invasive monitoring. Essentially you can do passive leg raise with anything that reliably tells you what the stroke volume is before and after the leg raise. Although some question it’s accuracy the NICOM is a great and relatively accurate device. Don’t know about the ClearSight because have not used and not a ton of data. Looks neat if is works, but skeptical until more data.

      Please write back if you have any more questions and I hope you’ve been well.

      Haney

      June 11, 2014
  3. Hi Anand….thanks for the question. Honestly, did not mention because gave a separate talk at SMACC completely on non-invasive monitoring. Essentially you can do passive leg raise with anything that reliably tells you what the stroke volume is before and after the leg raise. Although some question it’s accuracy the NICOM is a great and relatively accurate device. Don’t know about the ClearSight because have not used and not a ton of data. Looks neat if is works, but skeptical until more data.

    Please write back if you have any more questions and I hope you’ve been well.

    Haney

    June 11, 2014

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