Cases/

Case 18 — Oliguria on VV

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VV-ECMOadvanced8 min

Case 18 — Oliguria on VV

Handover

ARDS on VV with decent gases. CVP is rising, urine has tailed off, and yesterday’s echo showed RV strain. Sats dip when you try to drop the vent further.

Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.

Goals

  • · Echo for RV assessment
  • · CVP improved
  • · Lactate improving