A 58-year-old man on ICU is being monitored with a PiCCO (pulse contour cardiac output) device. His readings show: cardiac index 2.2 L/min/m2, SVRI 28...

Question

A 58-year-old man on ICU is being monitored with a PiCCO (pulse contour cardiac output) device. His readings show: cardiac index 2.2 L/min/m2, SVRI 2800 dyn·s·m2/cm5, GEDI (global end-diastolic index) 580 mL/m2, EVLWI (extravascular lung water index) 14 mL/kg, PVPI (pulmonary vascular permeability index) 3.5. What is the most likely underlying condition?

Accepted Answer

ARDS with pulmonary capillary leak

Answer

Severe hypovolaemia

Answer

Cardiogenic pulmonary oedema

Answer

Distributive shock with vasodilation

Answer

Massive pulmonary embolism

uk-fficm MCQ (SBA): ARDS