So in this second instalment, I put Jon-Emile on the spot about some common clinical scenarios which, to me, contain a bit of dogma. Let’s see if physiology will give us the bottom line!
I think these are actually really important, because just too many times, I hear people automatically saying that in RV infarct, the patients need a lot of fluids, and in PE and tamponade as well. I’m not so sure that’s always true, so I thought it would be a good idea to review this physiology with s real pro!
enjoy, and love to hear some comments!
Is that how I really sound?
Here’s the most important paper that I mention [http://jap.physiology.org/content/83/6/1799.full.pdf]. I don’t want to come off sounding totally anti-fluids here, but I do wanna make the point that you cannot use them with impunity in these pathophysiologies; it’s usually the Goldilocks principle.