17 min

EMCrit 286 – The Venous Side Matters Too with Phil Rola EMCrit Podcast - Critical Care and Resuscitation

    • Medicine

We've spoken about the concepts of venous congestion being problematic beyond just pulmonary edema. I've had Phil Rola on in the past to discuss Venous-side issues such as Renal Compartment Syndrome, the Vexus score, and other issues of the under-respected side of the circulation.

Prior Episodes



* EMCrit Podcast 240 - Renal Compartment Syndrome - It's all about the Venous Side and We've Been Fracking it up for Years

* EMCrit Podcast 263 - The Venous Side Part 1 - VEXUS Score with Phillipe Rola



Today we go further into these concepts, with some concentration on the micro-circulation. There may be quite deleterious effects from iatrogenic volume overload--especially when we are compelled by government regulation to go against our clinical gestalt.



 

Journal Articles



* Blood pressure deficits in acute kidney injury: not all about the mean arterial pressure?

* Renal Perfusion Pressure 60 predisposes to kidney injury

* There is individual variation on micro-circ from NorEpi

* CVP affects Microcirc Flow (Editorial)

* Physiology of the Microcirculation

* Perioperative Blood Pressure

* Sublingual Microcirculatory Microscopy

* Hot off the Press: Relative Hypotension and Adverse Kidney-related Outcomes among Critically Ill Patients with Shock. A Multicenter, Prospective Cohort Study. Am J Respir Crit Care Med. 2020 Nov 15;202(10):1407-1418. doi: 10.1164/rccm.201912-2316OC.



Special Mention to Ince on Microcirculatory Hemodynamic Coherence



* Ince hemodynamic coherence





Now on to the Podcast...

 

We've spoken about the concepts of venous congestion being problematic beyond just pulmonary edema. I've had Phil Rola on in the past to discuss Venous-side issues such as Renal Compartment Syndrome, the Vexus score, and other issues of the under-respected side of the circulation.

Prior Episodes



* EMCrit Podcast 240 - Renal Compartment Syndrome - It's all about the Venous Side and We've Been Fracking it up for Years

* EMCrit Podcast 263 - The Venous Side Part 1 - VEXUS Score with Phillipe Rola



Today we go further into these concepts, with some concentration on the micro-circulation. There may be quite deleterious effects from iatrogenic volume overload--especially when we are compelled by government regulation to go against our clinical gestalt.



 

Journal Articles



* Blood pressure deficits in acute kidney injury: not all about the mean arterial pressure?

* Renal Perfusion Pressure 60 predisposes to kidney injury

* There is individual variation on micro-circ from NorEpi

* CVP affects Microcirc Flow (Editorial)

* Physiology of the Microcirculation

* Perioperative Blood Pressure

* Sublingual Microcirculatory Microscopy

* Hot off the Press: Relative Hypotension and Adverse Kidney-related Outcomes among Critically Ill Patients with Shock. A Multicenter, Prospective Cohort Study. Am J Respir Crit Care Med. 2020 Nov 15;202(10):1407-1418. doi: 10.1164/rccm.201912-2316OC.



Special Mention to Ince on Microcirculatory Hemodynamic Coherence



* Ince hemodynamic coherence





Now on to the Podcast...

 

17 min

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