Appropriate IVF management is a most in ICU, and accurate assessment of fluid responsiveness should be the goal for everyone dealing with critically ill patient. Dynamic measures like[ PPV, SVV, LVOT VTI variability] are the most appropriate ways to use nowadays in critical care areas but unfortunately they either need experience like LVOT VTI by TTE and TEE or invasive like PPV,SVV, TEE, moreover it could not be possible in some circumstances like difficult in case of LVOT VTI, here is an amazing live video demonstrating a simple non invasive tool for accurately assess fluid responsiveness in ICU .

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