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--- resources:clinical_tools:pocus [2023/09/26 19:20] – [Hepatic Congestion] admin
+++ resources:clinical_tools:pocus [2023/10/04 14:03] (current) – [Profiling, Hemodynamic] admin
@@ Line 1: / Line 1: @@
+=====Profiling, Hemodynamic=====
+<mermaid>
+  flowchart TD
+    filter_dys("(1) Bad LVEF OR (2) low CI AND low HR`")
+    dys_hypoperf_yes["Access SVR"]
+    dys_hypoperf_no["Assess SVI and venous congestion"]
+    filter_dys_svi["Has SVI < 35, VR(+), VC(-)"] -- Yes --> test1
+    filter_dys_svi["Has SVI < 35, VR(+), VC(-)"] -- No --> test2
+    filter_dys -- Yes --> type_dys
+    filter_dys -- No --> B
+    type_dys["**Dysfunctional**"] --> filter_dys_hypoperf["End organ hypoperfusion?"]
+    filter_dys_hypoperf -- Yes and SVR > 1200 --> dys_svr_high["Inotrope +/- vasodilator"]
+    filter_dys_hypoperf -- Yes and SVR < 800 AND MAP < 65 --> dys_svr_low["Inotrope +/- vasoconstrictor"]
+    filter_dys_hypoperf -- No --> dys_hypoperf_no
+</mermaid>
 ==== Hepatic Congestion====
   * [[https://doi.org/10.1159/000526902 | Article, VExUS Grading]]
-  * [[ https://pocus101.b-cdn.net/wp-content/uploads/2020/05/Diastology-Dysfunction-Assesment-POCUS-101-1024x639.png] | LV Diastolic Function]]
+  * [[ https://pocus101.b-cdn.net/wp-content/uploads/2020/05/Diastology-Dysfunction-Assesment-POCUS-101-1024x639.png | LV Diastolic Function]]
   * [[https://www.echopedia.org/index.php?title=Diastolic_Function | Echopedia, Diastolic Function]]
+  * [[https://journals.lww.com/kidney360/fulltext/2021/08000/use_of_ultrasound_to_assess_hemodynamics_in.16.aspx | Hepatic Vascular Pulsatility]]
 ===== FREE Exam =====
 ==== Setup ====

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