#ひたちなか総合内科のPeerEducation.F：乳酸上昇でHCUから呼ばれたんですけど、困っちゃいました….S：そうそう、TypeAとTypeBに分けるのよね。ただ、「ぶっちゃけ、AかBかよくわからん」に最初なりがち。pCO2gapやFlowtracをうまく使えるといいよ！

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Cheap Man's Swan-Ganzとはよく言ったもの！.私達も節約のためにSwan-GanzやFlowtracをガンガンは入れていません。だからこそ、地味に　＃脈圧　も大事にしています。皆さんはSVの予測や　輸液反応性の判断に　＃脈圧　使っていますか？.

＃指導医の独り言.＃輸液反応性　を　頸動脈のVpeakの変動性（SVVのようなことを頸動脈で）で判断はそこそこよい感度・特異度.ただし挿管患者. Flowtracがなんらかの理由で使えないときに、1つの選択肢としてストックしておこうっと.

@nachan_ope いつもSVRIのお話ありがとうございます。.アナフィラキシーの時のCOはなんの測定値を使われますか？Flowtracの場合.、以上にCOが低く出ることはないですか？.

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＃常陸田舎の総合内科　＃ちょいエビ. 半坐位の挿管患者で、Volume challenge（500mL 15分）し、その前後でCO2gapをとると、その差ΔCO2gap ≦-2なら90％以上の特異度で輸液反応性あった. 私見：Flowtrac等がなんらかの理由で使えず、心エコー（でのVTI測定）もPoor.

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Comparison between FlowTrac and PAC Comment on Comparison between 4 Generation FloTrac/Vigileo System and Continuous TD for CO Estimation after Time Adjustment during Off-Pump CABG. J. Clin. Med - “Why Did We Miss Our Appointment?”.

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Can arterial shape change with IABP play a role in comparing FlowTrac/EV 1000 vs. pulmonary cardiac output?

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@WApplefeld yes, the flowtrac non invasive stuff, I agree, has incredible limitations (studies done passive on vent, no pHTN, normal rhythm, TV 8-10cc, etc) and echo training (or lack thereof) can get you into trouble if you do not know what you are looking at/for and technique.

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@ThinkingCC @IM_Crit_ Offcourse. IBP and flowtrac is not available in all patients to begin with. Pocus is always the go to tool in our ICU. We've stopped using CVP for all practical purposes except for deriving things like SVR etc.There's nothing more CVP can infer to pocus and dynamic parameters.