These are the readings from a PA catheter for a patient post lung transplant day 2, Hypotension commenced on Norepinephrine with LA of 6mmol/l. What should you do to improve LA clearance?
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Hemodynamics Management
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Creator- Subbarao Elapavaluru
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So the patient has got Low Cardiac index with low preload as evident by low SVI and high after load as evident by high SVRI &PVRI. the heart contractility is not great either as evident by the low LVSWI & RVSWI. All this should direct us to administering volume in the first instance as long as the PCWP is kept below 22 (or better if kept <20). If this was not sufficient then giving an inotropic agent (inodilator) would enhance contractility and reduce after load.