
Critical Care Scenarios Lightning rounds 51: Hemodynamic interfaces with Philippe Rola
12 snips
Apr 2, 2025 AI Snips
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Episode notes
Four Hemodynamic Interfaces
- Circulation is best understood as four key interfaces rather than isolated compartments.
- Focusing on interfaces highlights where coupling fails and reveals the weakest link to treat.
MAP Can Be Misleading
- Improving MAP alone can worsen tissue perfusion if coupling is ignored.
- Vasopressors can raise arterial pressure yet uncouple arteriolar-to-capillary flow and reduce capillary perfusion.
Assess All Four Interfaces
- Assess all four interfaces quickly when evaluating shock, using simple bedside checks.
- Train trainees to report interface one through four in case presentations.
