A 55-year-old man on ICU has septic shock with a lactate of 5.0 mmol/L. He has received 30 mL/kg crystalloid. The team performs bedside echocardiograp...

Question

A 55-year-old man on ICU has septic shock with a lactate of 5.0 mmol/L. He has received 30 mL/kg crystalloid. The team performs bedside echocardiography (FUSIC Heart). The LV is hyperdynamic (EF 70%), the RV is normal, and the IVC is >2.1 cm with

Accepted Answer

The IVC is dilated and non-collapsing - in a mechanically ventilated patient, this pattern suggests the patient is unlikely to be fluid responsive and further fluid boluses may cause harm

Answer

The patient is severely hypovolaemic and needs more fluid

Answer

The IVC measurement is unreliable

Answer

The patient needs a PLR test before any interpretation

Answer

This pattern is normal in all ICU patients

uk-fficm MCQ (SBA): IVC Assessment - Fluid Responsiveness