High-outputintermediate6 min
High output, still in failure
Handover
End-stage liver disease, warm, bounding, a little jaundice. CO 9.6, SVR 480, PCWP 20, SvO₂ 80. Someone is still hanging saline ‘for the creatinine.’ This is high-output failure, not empty and not septic until proven. Stop filling a 9-liter heart.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · Fluids stopped
- · Hyperdynamic LV documented
- · Wedge easing